2023
Donor nerve selection in free gracilis muscle transfer for facial reanimation. A systematic review and meta-analysis of clinical outcomes
BAYEZID, Kadir Can; Marek JOUKAL; Erdem KARABULUT; Jan MACEK; Ludmila MORAVCOVÁ et al.Základní údaje
Originální název
Donor nerve selection in free gracilis muscle transfer for facial reanimation. A systematic review and meta-analysis of clinical outcomes
Autoři
Vydání
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, OXFORD, ELSEVIER SCI LTD, 2023, 1748-6815
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30212 Surgery
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.000
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/23:00131589
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
Facial palsy; Facial reanimation; Free gracilis muscle transfer; Dual innervated free gracilis flap
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 14. 2. 2024 08:52, Mgr. Tereza Miškechová
Anotace
V originále
Background: One of the critical factors in facial reanimation is selecting the donor nerve. The most favored neurotizers are the contralateral facial nerve with a cross-face nerve graft (CFNG) and motor nerve to the masseter (MNM). A relatively new dual innervation (DI) method has shown successful results. This study aimed to compare the clinical outcomes of different neurotization strategies for free gracilis muscle transfer (FGMT). Methods: The Scopus and WoS databases were queried with 21 keywords. Three-stage article selection was performed for the systematic review. Articles presenting quantitative data for commissure excursion and facial symmetry were included in meta-analysis, using random-ef- fects model. ROBINS-I tool and Newcastle-Ottawa scale were used to assess bias and study quality. Results: One hundred forty-seven articles containing FGMT were systematically reviewed. Most studies indicated CFNG as the first choice. MNM was primarily indicated in bilateral palsy and in elderly. Clinical outcomes of DI studies were promising. 13 studies including 435 observations (179 CFNG, 182 MNM, 74 DI) were eligible for meta-analysis. The mean change in commissure excursion was 7.15 mm (95% CI: 4.57-9.72) for CFNG, 8.46 mm (95% CI: 6.86-10.06) for MNM, and 5.18 mm (95% CI: 4.01-6.34) for DI. In pairwise comparisons, a significant difference was found between MNM and DI (p = 0.0011), despite the superior outcomes described in DI studies.
Návaznosti
| MUNI/A/1360/2022, interní kód MU |
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| MUNI/A/1668/2020, interní kód MU |
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| MUNI/11/SUP/01/2020, interní kód MU |
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