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Free Neurovascularized Muscle Transfer in Facial Reanimation of Long-standing Facial Palsy Patients

Primary Purpose

Facial Paralysis

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Facial reanimation surgery by free muscle trasfer.
Sponsored by
Sohag University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Facial Paralysis

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • All patients with facial paralysis more than one year what ever the cause.

Exclusion Criteria:

  • patients with uncontrolled diabetes.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Active Comparator

    Arm Label

    Group A

    Group B

    Arm Description

    Segmental free latissimus muscle trasfer to the face.

    Free gracillis muscle trasfer to the face.

    Outcomes

    Primary Outcome Measures

    Change in smile excursion with the two muscles in the paralyzed side from the pre operative state.
    We will use SMILE system of Bray et al for assessment.

    Secondary Outcome Measures

    Full Information

    First Posted
    January 15, 2022
    Last Updated
    February 1, 2022
    Sponsor
    Sohag University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05222698
    Brief Title
    Free Neurovascularized Muscle Transfer in Facial Reanimation of Long-standing Facial Palsy Patients
    Official Title
    Segmental Free Latissimus Versus Free Gracillis Muscles Powered by Hypoglossal Nerve in Facial Reanimation of Long-standing Facial Palsy Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    April 2022 (Anticipated)
    Primary Completion Date
    October 2024 (Anticipated)
    Study Completion Date
    December 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Sohag University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    The use of free Neurovascularized muscles like free latissimus and gracillis muscles for reanimation of long-standing facial palsy patients using the hypoglossal nerve for innervating these muscles
    Detailed Description
    The investigators need to know which of the two muscles is better functionally and aesthetically in facial reanimation of patients with facial paralysis of more than one year duration.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Facial Paralysis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    20 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Group A
    Arm Type
    Active Comparator
    Arm Description
    Segmental free latissimus muscle trasfer to the face.
    Arm Title
    Group B
    Arm Type
    Active Comparator
    Arm Description
    Free gracillis muscle trasfer to the face.
    Intervention Type
    Procedure
    Intervention Name(s)
    Facial reanimation surgery by free muscle trasfer.
    Intervention Description
    Muscle flap harvesting from the back or from the thigh to be insetted to the paralyzed side of the face with microvascular anastomosis of the muscle pedicle to facial artery and vein.
    Primary Outcome Measure Information:
    Title
    Change in smile excursion with the two muscles in the paralyzed side from the pre operative state.
    Description
    We will use SMILE system of Bray et al for assessment.
    Time Frame
    One year post operatively.

    10. Eligibility

    Sex
    All
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: All patients with facial paralysis more than one year what ever the cause. Exclusion Criteria: patients with uncontrolled diabetes.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Ahmed Saber, Master
    Phone
    01005795166
    Email
    ahmed.osman@med.sohag.edu.eg
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Ahmed Saber, Master
    Organizational Affiliation
    Sohag faculty of medicine
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Free Neurovascularized Muscle Transfer in Facial Reanimation of Long-standing Facial Palsy Patients

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