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BackTable / ENT / Podcast / Episode #198
Advanced Techniques in Facial Reanimation
with Dr. Myriam Loyo Li and Dr. Shiayin Yang
From cable grafts to free muscle transfer, surgical treatments for facial paralysis are evolving quickly. In this episode of the Backtable ENT Podcast, Dr. Myriam Loyo Li, facial plastic surgeon at OHSU, joins guest host Dr. Shiayin Yang of Vanderbilt to discuss dynamic procedures for facial paralysis.
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BackTable, LLC (Producer). (2024, November 5). Ep. 198 – Advanced Techniques in Facial Reanimation [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Myriam Loyo Li
Dr. Myriam Loyo Li is a facial plastic surgeon at Oregan Health and Science Univeristiy in Portland, Oregan.
Dr. Shiayin Yang
Dr. Shiayin Yang is an assistant professor of facial plastic and reconstructive surgery with Vanderbilt University in Nashville, Tennessee.
Synopsis
First, the surgeons review workup of flaccid and non-flaccid (synkinetic) facial paralysis. Then, they review the principles of facial reanimation. Topics such as nerve graft selection and staged surgery are covered. Dr. Loyo Li explains her timelines for staged surgery and how patient characteristics affect her decision planning. Finally, the surgeons discuss free muscle transfer – an exciting new technique in the world of facial plastic surgery – to treat facial paralysis.
Timestamps
00:00 - Introduction
02:48 - Evaluating and Managing Flaccid Facial Palsy
05:18 - Imaging and Treatment Pathways
07:16 - Nerve Grafting Techniques and Preferences
10:08 - Challenges and Innovations in Facial Reanimation
25:50 - Patient-Centered Approaches and Decision Making
37:30 - Evaluating Facial Nerve Recovery
43:25 - Timing and Criteria for Nerve Transfers
46:41 - Free Muscle Transfer Techniques
49:47 - Innovations in Cross Facial Nerve Grafts
01:06:04 - Exploring Free Strap Muscle Transfers
01:14:05 - The Future of Facial Reanimation
Resources
Dr. Loyo Li’s OHSU Profile:
https://www.ohsu.edu/providers/myriam-loyoli-md-mcr
Dr. Yang’s Vanderbilt Profile:
https://www.vanderbilthealth.com/doctors/yang-shiayin
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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