Özgür SUNAY, OSMAN ENVER AYDIN, Hasan ATEŞ, Ali BARUTÇU

Temporal miyoplasti ve elektrik uyarılması ile kalıcı fasiyal paralizi onarımı: Olgu sunumu

Bu çalışmanın amacı kalıcı fasiyal paralizinin cerrahi tedavisinde sıklıkla tercih edilen bir flep olan temporal kas flebinin postoperatif erken dönemde elektrik uyarılması sonuçlarının bir olgu eşliğinde sunulmasıdır. 22 yaşında, doğumsal hemifasiyal paralizisi olan kadın hastanın, temporal miyoplasti operasyonun ardından split edilen kas fleplerine kutanöz olarak 30 gün süre ile elektrik uyarılması verilmiştir. Uzun dönem takiplerinde hastanın paralizik taraftaki gözkapağını rahatlıkla ve diğer gözkapağı ile senkron kapatabildiği ve simetriğe çok yakın gülümseme sağlandığı görüldü. Fasiyal paralizi, kişinin sosyal yaşantısını birçok açıdan oldukça olumsuz yönde etkileyen bir hastalıktır. Kalıcı fasiyal paralizi gelişmesinin ardından reanimasyon için cerrahi tedavi kaçınılmaz hale gelmektedir. Temporal kas flebi uzun süredir fasiyal paralizi cerrahisinde uygulanmaktadır. Temporal kasın, mimik kaslarına oranla uyarılabilitesinin ve hızının yavaş olması mükemmel sonuçların önündeki en büyük engel olarak gösterilebilir. Kalıcı fasiyal paralizi onarımlarında tercih edilen temporal kas flebinin, postoperatif erken dönemde elektrik uyarılmasının, sunulan olguda temporal kasın kasılma hızı ve amplitüdüne olumlu etkisi olmuştur.

Facial paralysis reconstruction with temporal myoplasty and electrical stimulation: Case report

The purpose of this study was to reveal whether the positive outcomes of stimulation of temporaiis muscle flap, one of the most commonly preferred, flaps in surgical treatment of permanent facial paralysis, during the early postoperative period. A 22-year-old female patient withhemifacial paralysis was subjected to cutaneous electric stimulation for 30 days on her spiitted muscle flaps following temporal myoplasty. The patient was observed to be able to close her eyelid on the paralytic side comfortably and synchronously with the contralateral one along with production of a smile that can be described close to symmetric. Facial paralysis is a disease that affects the social lives of people negatively in many aspects. Following the development of permanent facial paralysis, surgical intervention becomes inevitable for, reanimation. Temporaiis muscle flap has been used in facial paralysis surgery for a long time. The slowness and excitability of temporal muscle compared with the mimic muscles, can be underscored as the leading factor preventing achievement of perfect results. The electric stimulation of a temporalis muscle flap during the early postoperative period, which is preferred in permanent facial paralysis repairs, contributes positively to the contraction speed and amplitude of the temporalis muscle.

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