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Facial Reanimation, Bell's Palsy & Smile Surgery2016

Use of the Submental Vessels for Free Gracilis Muscle Transfer for Smile Reanimation

Goyal N, Jowett N, Dwojak S, Cunane MB, Zander D, Hadlock TA, Emerick KS

Head Neck

What Is This Study About?

This study demonstrates the feasibility of using the submental artery and vein (vessels under the chin) for connecting the blood supply during free gracilis muscle transfer. This alternative vascular option is useful when the standard facial artery is unavailable.

Key Findings

  • Demonstrated successful gracilis transfer using submental vessels for blood supply
  • Provides an alternative when standard facial vessels are unavailable
  • Anatomic study confirmed reliable submental vessel dimensions for microsurgical connection

What This Means for Patients

Having alternative blood vessel options increases the number of patients who can receive successful smile reanimation surgery, including those with prior surgery or anatomic variations.

Citation & Links

Citation: Goyal N, Jowett N, Dwojak S, Cunane MB, Zander D, Hadlock TA, Emerick KS. Head Neck. 2016 Oct; 38(10):E2499-503.

PMID: 27341470