Episode # 198 • 05 Nov 2024
Advanced Techniques in Facial Reanimation
From cable grafts to free muscle transfer, surgical treatments for facial paralysis are evolving quickly. In this episode of the Backtable ENT Podcast, Dr. Myriam Loyo Li, facial plastic surgeon at OHSU, joins guest host Dr. Shiayin Yang of Vanderbilt to discuss dynamic procedures for facial paralysis.
Timestamps
00:00 - Introduction
02:48 - Evaluating and Managing Flaccid Facial Palsy
05:18 - Imaging and Treatment Pathways
07:16 - Nerve Grafting Techniques and Preferences
10:08 - Challenges and Innovations in Facial Reanimation
25:50 - Patient-Centered Approaches and Decision Making
37:30 - Evaluating Facial Nerve Recovery
43:25 - Timing and Criteria for Nerve Transfers
46:41 - Free Muscle Transfer Techniques
49:47 - Innovations in Cross Facial Nerve Grafts
01:06:04 - Exploring Free Strap Muscle Transfers
01:14:05 - The Future of Facial Reanimation
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More about this episode
First, the surgeons review workup of flaccid and non-flaccid (synkinetic) facial paralysis. Then, they review the principles of facial reanimation. Topics such as nerve graft selection and staged surgery are covered. Dr. Loyo Li explains her timelines for staged surgery and how patient characteristics affect her decision planning. Finally, the surgeons discuss free muscle transfer – an exciting new technique in the world of facial plastic surgery – to treat facial paralysis.
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