Portal de Periódicos da CAPES

Carta Acesso aberto Produção Nacional Revisado por pares

BIBTEX RIS

Reply: Neurotized Platysma Graft: A New Technique for Functional Reanimation of the Eye Sphincter in Longstanding Facial Paralysis

2020; Lippincott Williams & Wilkins; Volume: 146; Issue: 4 Linguagem: Inglês

10.1097/prs.0000000000007211

1529-4242

Tomaz Nassif,

Reconstructive Surgery and Microvascular Techniques

Sir: We thank Dr. Alexander Cardenas-Mejia and colleagues for their interest in our article entitled “Neurotized Platysma Graft: A New Technique for Functional Reanimation of the Eye Sphincter in Longstanding Facial Paralysis.”1 We agree that the use of small free muscles for complex reconstruction in facial reanimation operations, because they fit well and avoid bulkiness, can be difficult to harvest and require complex microsurgical techniques. The fact that in our technique we do not need to transfer the platysma muscle as a microvascular flap makes it simple and feasible. We are now working with a series of patients needing orbicularis oris reanimation and elevation of the lips using the neurotized platysma graft, with very good results. The technique described by these authors using the free neurovascular omohyoid muscle to treat palpebral ptosis and lack of the levator labii function is very interesting and can also be considered for these purposes. However, we would like to stimulate them to use the neurotized platysma graft with the same intent as an alternative to their technique. We are looking to the near future with the same thoughts of these colleagues that these new techniques will revolutionize functional periorbital and facial reanimation. DISCLOSURE The author has no financial interests to report. No funding was received for this communication.