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Facial Paralysis Surgery Articles List

9 Articles Found

Dr. Michael Klebuc, M.D. has been named by Houston, Texas Super Doctors® as one of the top doctors in Houston for 2015. After being named to this listing for at least ten years or more, he has been also named into the exclusive Super Doctors Texas Hall of Fame. The number of doctors receiving the annual honor is limited to approximately five percent of the region's active physicians. Each year, MSP Communications undertakes a rigorous multi-phase selection process that includes a survey of doctors, independent evaluation of candidates by the research staff, a peer review of candidates by practice area and a good-standing and disciplinary check. As a part of this evaluation, physicians are asked to consider the following question: "If you needed medical care in one of the following practice areas, which doctor would you choose?" Since 2005, MSP ...

Dr. Klebuc and Houston Methodist Hospital System recently featured an article in Leading Medicine Magazine focused in on innovations in the treatment of Facial Paralysis and Nerve Reconstruction.  Facial paralysis from a tumour removal required smile restoration for functional nerve reconstruction surgery. See the results of restoring not only the severed nerve, but with the smile restoration, improving the day to day life of a teacher in her community.  Read the full article in Leading Medicine  To learn more about options for facial reconstruction and nerve repair, contact Dr. Klebuc for an appointment and evaluation.

Dr. Klebuc has earned his place on the 2011 List of Texas Super Doctors for the fifth year in a row. In the specialty of cosmetic/reconstructive surgery, Dr. Klebuc has consistently achieved this recognition after a multi-step selection process. Only five percent of doctors in the state of Texas were chosen to be included on this prestigious list.

  ABSTRACT The motor components of local cranial nerves provide a series of options for the surgical rehabilitation of the paralyzed face. Nerve donor sites vary with respect to their motor power, functional deficit, and synergy with facial expression. A thorough understanding of each donor nerve's strengths and weaknesses facilitates the selection process. Technical modifications to reduce donor site morbidity and the emerging role of the masseter nerve are examined.   Read More

Background: This article describes facial reanimation using the transfer of the trigeminal motor nerve branch of the masseter muscle (masseter nerve) to the facial nerve (masseter-to-facial nerve transfer). Methods: A retrospective review was performed of 10 consecutive facial paralysis patients treated with a masseter-to-facial nerve transfer for reanimation of the midface and perioral region over a 7-year period. Patients were evaluated with physical examination, direct measurement of commissure excursion, and video analysis. Results: All patients regained oral competence, good resting tone, and a smile, with a vector and strength comparable to those of the normal side. Motion developed an average of 5.6 months after masseter-to-facial nerve transfer, with 40 percent of patients developing an effortless smile by postoperative month 19. Conclusions: The masseter-to-facial nerve transfer is an effective method for reanimation of the midface and perioral region in a select ...

Development of the iliac crest microsurgical free flap has significantly enhanced the surgical restoration of the mandible. A decade of heavy clinical use has established the versatility and efficacy of this technique. A recent literature review suggests a 96% success rate has been achieved. This donor site provides a long vascular pedicle, appropriately shaped bone, skin, and soft tissue. These properties enable tailoring of the flap to precisely fit the defect. The flap has overcome bone size and movement restrictions imposed by regional pedicles. The retained blood supply induces rapid fracture-like healing and provides metabolic independence from the recipient bed. Incorporating an internal oblique muscle island enhances flap utility. The muscle provides a source of oral lining and sanctions the reconstruction of compound defects with a single flap. In an effort to refine the bony component and reduce donor site ...

Developing standardized outcomes and algorithms of treatment is a constantly evolving task. This article examines four variables in this process: cleft type, operative technique, surgical experience, and timing. Input from international cleft lip and palate programs regarding techniques and treatment modalities provide a dynamic tool for assessment and the development of guidelines in the treatment of the cleft lip and palate patient.

Midfacial bone and soft tissue defects present a unique challenge because they require a complex arrangement of tissues in a relatively limited space. This may be difficult to achieve with free osteocutaneous flaps. The use of bone grafts allows greater flexibility in reconstruction but is limited by graft resorption. This is the report of midface reconstruction using a large iliac crest graft covered with a radial forearm free fascioperiosteal flap to augment graft survival. Histopathology and patient follow-up evaluation are presented demonstrating viable bone throughout the graft at biopsy 4 months postoperatively.

Success of oromandibular reconstructions is increasingly achieved through fundamental microvascular techniques that incorporate innovative adjunct modalities. We report a complex case of a large anterior mandibular plexiform ameloblastoma reconstructed with an iliac crest free flap in a young woman with bilateral peronea arteria magna. This article serves to highlight the application of several new technologies in an effort to provide a functional and cosmetically acceptable result.