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The use of free Neurovascularized muscles like free latissimus and gracillis muscles for reanimation of long-standing facial palsy patients using the hypoglossal nerve for innervating these muscles
The investigators need to know which of the two muscles is better functionally and aesthetically in facial reanimation of patients with facial paralysis of more than one year duration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Active Comparator | Segmental free latissimus muscle trasfer to the face. |
|
| Group B | Active Comparator | Free gracillis muscle trasfer to the face. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Facial reanimation surgery by free muscle trasfer. | Procedure | Muscle flap harvesting from the back or from the thigh to be insetted to the paralyzed side of the face with microvascular anastomosis of the muscle pedicle to facial artery and vein. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in smile excursion with the two muscles in the paralyzed side from the pre operative state. | We will use SMILE system of Bray et al for assessment. | One year post operatively. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ahmed Saber, Master | Contact | 01005795166 | ahmed.osman@med.sohag.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Ahmed Saber, Master | Sohag faculty of medicine | Principal Investigator |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jul 14, 2024 | |
| Reset | Oct 11, 2024 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jul 14, 2024 | Oct 11, 2024 |
| ID | Term |
|---|---|
| D005158 | Facial Paralysis |
| ID | Term |
|---|---|
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D010243 | Paralysis |
| D009461 | Neurologic Manifestations |
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| D009422 |
| Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |