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The choice of a donor nerve to innervate a free gracilis muscle transfer (FMGT) is more complicated in patients with a history of previous facial paralysis surgeries. This case report describes the use of the deep temporal nerve to successfully power a FMGT in a nerve-depleted patient.
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http://dx.doi.org/10.1002/lary.70123 | DOI Listing |
Laryngoscope
September 2025
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology/Head and Neck Surgery, University of North Carolina, North Carolina, USA.
The choice of a donor nerve to innervate a free gracilis muscle transfer (FMGT) is more complicated in patients with a history of previous facial paralysis surgeries. This case report describes the use of the deep temporal nerve to successfully power a FMGT in a nerve-depleted patient.
View Article and Find Full Text PDFJPRAS Open
September 2025
Department for Plastic Surgery, Hand Surgery-Burn Center, Division for Plexus Surgery, University Hospital RWTH Aachen, Pauwelsstraße 30, Aachen, 52074 North Rhine-Westphalia, Germany.
We present the case of a physically active 50-year-old patient who underwent an arthroscopic release of the iliopsoas tendon due to a snapping hip. Postoperatively, active hip flexion was severely weakened. As a consequence patient had no stable gait pattern and was unable to continue her sports and physical activities.
View Article and Find Full Text PDFAnn Med Surg (Lond)
September 2025
Department of General Surgery, Yangpu Hospital, Tongji University School of Medcine, Shanghai, China.
Introduction And Importance: For patients with locally advanced low rectal cancer (LARC) unresponsive to neoadjuvant chemoradiotherapy, achieving functional sphincter preservation remains a major challenge due to tumor invasiveness and complex anal reconstruction requirements.
Case Presentation: A 67-year-old female with LARC underwent extended radical resection involving anal sphincter/puborectalis muscle excision and partial vaginal wall resection. Anal reconstruction was performed via a free left gracilis myocutaneous flap routed in a "γ-shaped" configuration.
JBJS Case Connect
July 2025
Department of Orthopedics and Traumatology, Unidade local de saúde de Entre o Douro e Vouga, Santa Maria da Feira, Portugal.
Case: A 37-year-old man developed chronic ankle instability because of the complete absence of the anterior talofibular and calcaneofibular ligaments after previous ankle arthroscopy, confirmed by magnetic resonance imaging. Arthroscopic lateral ligament reconstruction with a gracilis tendon autograft yielded excellent outcomes, with the patient achieving stability, being pain-free, and attaining normal functional scores at 12 months postoperatively.
Conclusion: This case highlights the importance of surgical expertise to prevent complications of the arthroscopy procedure, describing a rare complication: iatrogenic chronic ankle instability, and demonstrates the efficacy of arthroscopic ligament reconstruction using grafts in the absence of native ligaments.
Wien Klin Wochenschr
August 2025
Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Vienna General Hospital, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Background: Indications for reconstruction of the lower extremity range from posttraumatic defects to infections and tumors. Despite advancements in plastic surgery, flap surgery still poses a challenge. In this retrospective study local flap surgeries and microsurgical free flaps were assessed.
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