Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1386
5
1
gregorian
2007
8
1
21
2
online
1
fulltext
en
Comparison of one-stage free gracilis muscle flap with two-stage method in chronic facial palsy
Plastic Surgery
Plastic Surgery
Original Research
Original Research
<p> <strong>Abstract</strong></p><p> <strong>Background:</strong> Rehabilitation of facial paralysis is one of the greatest challenges faced by reconstructive surgeons today. The traditional method for treatment of patients with facial palsy is the two-stage free gracilis flap which has a long latency period of between the two stages of surgery.</p><p> <strong>Methods:</strong> In this paper, we prospectively compared the results of the one-stage gracilis flap method with the two - stage technique.</p><p> <strong>Results: </strong>Out of 41 patients with facial palsy refered to Hazrat-e-Fatemeh Hospital 31 were selected from whom 22 underwent two- stage and 9 one-stage method treatment. The two groups were identical according to age, sex, intensity of illness, duration, and chronicity of illness. Mean duration of follow up was 37 months. There was no significant relation between the two groups regarding the symmetry of face in repose, smiling, whistling and nasolabial folds. Frequency of complications was equal in both groups. The postoperative surgeons and patients' satisfaction were equal in both groups. There was no significant difference between the mean excursion of muscle flap in one-stage (9.8 mm) and two-stage groups (8.9 mm). The ratio of contraction of the affected side compared to the normal side was similar in both groups. The mean time of the initial contraction of the muscle flap in the one-stage group (5.5 months) had a significant difference (P=0.001) with the two-stage one (6.5 months). The study revealed a highly significant difference (P=0.0001) between the mean waiting period from the first operation to the beginning of muscle contraction in one-stage (5.5 months) and two-stage groups (17.1 months).</p><p> <strong>Conclusion:</strong> It seems that the results and complication of the two methods are the same, but the one-stage method requires less time for facial reanimation, and is costeffective because it saves time and decreases hospitalization costs.</p>
One-stage method, facial palsy, free flap, gracilis
63
70
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-163&slc_lang=en&sid=1
Hamid
Karimi
h.karimi@iums.ac.ir
20031947532846002114
20031947532846002114
Yes
Faculty of Medicine, Iran University of Medical Sciences. Hazrat-e-Fatemeh,Hospital, 21st Alley, Asad Abadi Ave. Tehran, Iran
Mohammad
Ashayeri
20031947532846002115
20031947532846002115
No
Faculty of Medicine, Iran University of Medical Sciences
N
Boddouhi
20031947532846002116
20031947532846002116
No
Iran University of Medical Sciences
J
Ghaffari
20031947532846002117
20031947532846002117
No
Iran University of Medical Sciences
F
Hoseini
20031947532846002118
20031947532846002118
No
Iran University of Medical Sciences