{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T22:47:13Z","timestamp":1784242033189,"version":"3.55.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T00:00:00Z","timestamp":1693872000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"published-print":{"date-parts":[[2023,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Facial palsy patients face significant challenges. Gracilis free flap transfer is a key procedure in facial reanimation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aims to analyze oral commissure excursion improvement after gracilis free flap transfer and the differences regarding donor nerve: cross-facial nerve graft (CFNG), hypoglossal or spinal accessory nerves, motor nerve to masseteric (MNTM), and most recently, double anastomosis using both the MNTM and CFNG.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A systematic review and meta-analysis were conducted of studies reporting oral commissure excursion improvement after free gracilis muscle transfer. Pooled proportions were calculated using a random-effects model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Eighteen studies, 453 patients, and 488 free gracilis flaps were included. The mean change in perioperative oral commissure excursion was 7.0\u2009mm, for CFNG 7.2\u2009mm, for MNTM 7.7, and for double anastomoses 5.5\u2009mm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>There is a significant improvement in oral commissure excursion after gracilis muscle-free flap. Unfortunately, we could not make definitive conclusions regarding the optimal choice of donor nerve.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/fpsam.2022.0283","type":"journal-article","created":{"date-parts":[[2023,2,14]],"date-time":"2023-02-14T15:06:57Z","timestamp":1676387217000},"page":"396-402","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Gracilis Muscle-Free Flap Objective Improvement of Oral Commissure Excursion in Facial Palsy Reanimation Surgery: Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9607-0032","authenticated-orcid":false,"given":"Isabel","family":"Fern\u00e1ndez-Carrera Gonz\u00e1lez","sequence":"first","affiliation":[{"name":"ENT Head and Neck Surgery, Hospital Universitario de Torrejon, Torrejon de Ardoz, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Gavilanes Plasencia","sequence":"additional","affiliation":[{"name":"ENT Head and Neck Surgery, Hospital Universitario 12 de Octubre, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nieves","family":"Mata Castro","sequence":"additional","affiliation":[{"name":"ENT Head and Neck Surgery, Hospital de Torrej\u00f3n, Torrejon de Ardoz, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,9,5]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31823aedd9"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2016.05.009"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197602000-00001"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(80)90013-2"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200301000-00007"},{"issue":"1","key":"e_1_3_7_7_2","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1055\/s-2004-823122","article-title":"M\u00f6bius syndrome","volume":"18","author":"Singham J","year":"2004","unstructured":"Singham J, , Manktelow R, , Zuker RM. 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