J 2024

Restoring the spontaneous smile through free functional muscle transfer. A systematic review and meta-analysis of the last twenty years' experience

BAYEZID, Kadir Can, Suat MORKUZU, Erdem KARABULUT, Adam BAJUS, Libor STREIT et. al.

Základní údaje

Originální název

Restoring the spontaneous smile through free functional muscle transfer. A systematic review and meta-analysis of the last twenty years' experience

Autoři

BAYEZID, Kadir Can (792 Turecko, domácí), Suat MORKUZU, Erdem KARABULUT, Adam BAJUS a Libor STREIT (203 Česká republika, garant, domácí)

Vydání

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, OXFORD, ELSEVIER SCI LTD, 2024, 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: 2.700 v roce 2022

Organizační jednotka

Lékařská fakulta

UT WoS

001124492300001

Klíčová slova anglicky

Facial palsy; Facial reanimation; Free functional; muscle transfer; Spontaneous smile; Dual innervation

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 14. 2. 2024 08:54, Mgr. Tereza Miškechová

Anotace

V originále

Background: The recovery of the spontaneous smile has become a primary focus in facial reanimation surgery and its major determinant is the selected neurotizer. We aimed to compare the spontaneity outcomes of the most preferred neurotization methods in free functional muscle transfer for long-standing facial paralysis. Methods: The Embase, Ovid Medline, and PubMed databases were queried with 21 keywords. All clinical studies from the last 20 years reporting the postoperative spontaneity rate for specified neurotization strategies [cross-face nerve graft (CFNG), contralateral facial nerve (CLFN), motor nerve to the masseter (MNM), and dual innervation (DI)] were included. A metaanalysis of prevalence was performed using Freeman-Tukey double arcsine transformation, I2 statistic, and generic inverse variance with a random-effects model. Risk Of Bias In Non-randomized Studies of Interventions and Newcastle-Ottawa scale were used to assess bias and study quality. Results: The literature search produced 2613 results and 473 unique citations for facial reanimation. Twenty-nine studies including 2046 patients were included in the systematic review. A meta-analysis of eligible data (1952 observations from 23 studies) showed statistically significant differences between the groups (CFNG: 0.94; 95% confidence interval [CI], 0.76-1.00, CLFN: 0.91; 95% CI, 0.49-1.00, MNM: 0.26; 95% CI, 0.05-0.54, DI: 0.98; 95% CI, 0.90-1.00, P < 0.001). In pairwise comparisons, statistically significant differences were found between MNM and other neurotization strategies (P < 0.001 in CFNG compared with MNM, P = 0.013 for CLFN compared with MNM, P < 0.001 for DI compared with MNM). Conclusions: DI- and CLFN-driven strategies achieved the most promising outcomes, whereas MNM showed the potential to elicit spontaneous smile at a lower extent. Our meta-analysis was limited primarily by incongruency between spontaneity assessment systems. Consensus on a standardized tool would enable more effective comparisons of the outcomes. (c) 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Návaznosti

MUNI/A/1360/2022, interní kód MU
Název: Evaluace inovativních postupů plastické a rekonstrukční chirurgie III
Investor: Masarykova univerzita, Evaluace inovativních postupů plastické a rekonstrukční chirurgie III
MUNI/A/1457/2021, interní kód MU
Název: Evaluace inovativních postupů plastické a rekonstrukční chirurgie II
Investor: Masarykova univerzita, Evaluace inovativních postupů plastické a rekonstrukční chirurgie II
MUNI/11/SUP/01/2020, interní kód MU
Název: Reanimace obličeje při obrně lícního nervu: Zdvojená inervace motorické jednotky v experimentu in vivo
Investor: Masarykova univerzita, Reanimace obličeje při obrně lícního nervu: Zdvojená inervace motorické jednotky v experimentu in vivo