{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T17:53:14Z","timestamp":1778521994932,"version":"3.51.4"},"reference-count":44,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,11,20]],"date-time":"2017-11-20T00:00:00Z","timestamp":1511136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The purpose of this study was to characterize the outcomes of free gracilis muscle transfer for delayed smile reanimation after radical parotidectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review of patients who underwent free gracilis muscle transfer for smile reanimation after radical parotidectomy between 2003 and 2016 was performed. Patient\u2010reported quality of life (Facial Clinimetric Evaluation Scale [FaCE]), physician\u2010reported facial function (\u201ceFACE\u201d facial grading scale), and oral commissure excursion were compared preoperatively and postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve patients were identified with prior surgery and adjuvant therapy (radiotherapy in 6 cases and chemoradiotherapy in 6 cases). Significant postoperative improvements were demonstrated for ipsilateral commissure excursion with smile (preoperatively: \u22122.2 mm [SD 2.3 mm] vs postoperatively: 7.9 mm [SD 2.5 mm]; <jats:italic>P<\/jats:italic> = .002), with meaningful smile achieved in 11 of 12 cases (91.7%). The average duration of facial paralysis before intervention was 72 months (range 12\u2010204 months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Free gracilis muscle transfer is an option for dynamic smile reanimation in select patients who have undergone treatment for advanced parotid malignancy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.25022","type":"journal-article","created":{"date-parts":[[2017,11,20]],"date-time":"2017-11-20T14:52:46Z","timestamp":1511189566000},"page":"561-568","source":"Crossref","is-referenced-by-count":25,"title":["Free gracilis muscle transfer for smile reanimation after treatment for advanced parotid malignancy"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9309-651X","authenticated-orcid":false,"given":"Callum","family":"Faris","sequence":"first","affiliation":[{"name":"Department of Facial Plastic Reconstructive Surgery Massachusetts Eye and Ear Infirmary Boston 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