METHOD OF SURGICAL TREATMENT OF PERSISTENT PROSOPLEGIA Russian patent published in 2023 - IPC A61B17/00 

FIELD: medicine, neurosurgery and maxillofacial surgery.

SUBSTANCE: formation in the subcutaneous fat of the bed for the autograft is carried out. Autotransplantation of a fragment of the small muscle of the thigh into the recipient zone is carried out. Reinnervation and revascularization of a fragment of the small muscle of the thigh is performed. The distal part of the gracilis femoris fragment is fixed to the tissues of the angle of the mouth, and the proximal part of the gracilis femoris fragment is fixed to the zygomatic arch and superficial temporal fascia. The autograft of the broad fascia of the thigh is taken along the length corresponding to the distance from the tragus to the lower parts of the buccal region of the face. It is transferred to the autograft bed over the autograft of the fine muscle of the thigh and fixed to the zygomatic arch and to the lower parts of the muscular-aponeurotic layer of facial tissues in the buccal region and in the region of the lower lip.

EFFECT: method makes it possible to prevent the development of soft tissue ptosis of the middle and lower zone of the paralyzed half of the face after surgical treatment of persistent prosoplegia with mimic muscle atrophy, to improve the aesthetic result of treatment, to reduce the time of postoperative rehabilitation.

1 cl, 1 dwg, 1 ex