Optimizing the smile with gracilis free muscle transfer

Mingyang L. Gray; Kofi D.O. Boahene

doi:10.1016/j.otot.2022.02.006

Optimizing the smile with gracilis free muscle transfer

Mingyang L. Gray, Kofi D.O. Boahene

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

Restoring smile to the paralyzed face requires analysis of the elements and biomechanics behind a natural smile. A Duchenne-type smile with maximal dental display can be recreated with a tailored gracilis free flap technique that restores multi-vector excursion of the lip simulating native lip elevators. Applying the principles of muscle tendon unit transfers helps to maximize muscle excursion with appropriate force along ideal vectors. Outcome measures that reflect the elements of a normal smile are helpful in objectively assessing and modifying techniques.

Original language	English (US)
Pages (from-to)	36-40
Number of pages	5
Journal	Operative Techniques in Otolaryngology - Head and Neck Surgery
Volume	33
Issue number	1
DOIs	https://doi.org/10.1016/j.otot.2022.02.006
State	Published - Mar 2022

Keywords

Facial reanimation
Gracilis
Multi-vector

ASJC Scopus subject areas

Surgery
Otorhinolaryngology

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10.1016/j.otot.2022.02.006

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AB - Restoring smile to the paralyzed face requires analysis of the elements and biomechanics behind a natural smile. A Duchenne-type smile with maximal dental display can be recreated with a tailored gracilis free flap technique that restores multi-vector excursion of the lip simulating native lip elevators. Applying the principles of muscle tendon unit transfers helps to maximize muscle excursion with appropriate force along ideal vectors. Outcome measures that reflect the elements of a normal smile are helpful in objectively assessing and modifying techniques.

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Optimizing the smile with gracilis free muscle transfer

Abstract

Keywords

ASJC Scopus subject areas

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