A new indication for barbed threads: static reanimation of the paralyzed face

Publication date: Available online 5 August 2017
Source:Journal of Oral and Maxillofacial Surgery
Author(s): Victor Vlad Costan, Eugenia Popescu, Daniela Sulea, Ioan Sorin Stratulat
PurposeThe objective of this study is to present our experience in the area of static facial reanimation using a straightforward incisionless procedure adapted from techniques commonly used for performing minimally invasive face-lifts.MethodsA total of 17 patients were treated by static suspension using barbed sutures and all the resulting changes were reviewed. The technique used for suture placement is described in detail, as are the author's tips for achieving the best aesthetic and functional results. All patients had preoperative indication for physiotherapy and rehabilitation procedures (local massage and mirror therapy). Facial nerve function was evaluated using the Arianna Disease Scale (ADS).ResultsThe cosmetic outcome improved in all cases, with significant amelioration of the preoperative facial asymmetry. Oral competence was enhanced by elevating the oral commissure and reinforcing the cheek, while a reduction of the symptoms related to lagophthalmos was achieved through increased support and decreased pull on the inferior eyelid. The addition of physiotherapy procedures with specific rehabilitation exercises before the surgical intervention increased the success rate.ConclusionThis technique proved to be a good alternative to other static reanimation procedures due to its straightforward technique, availability, good outcomes, low complication rate and ability to perform minor adjustments and corrections at any time.



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