Assessment of T-shape double fascia graft for lower XXXX from @entity3541 : A questionnaire survey.

@entity3306 @entity1 @entity3541 @entity912
INTRODUCTION: There are two main methods to treat @entity3306 ( @entity3306 ) in @entity3541 . The first method is surgical intervention on the side of the @entity912 , and the second involves denervating the depressor muscles on the healthy side. It is sometimes difficult for @entity1 to ethically accept the denervating healthy tissue; therefore, we performed the T-shape double fascia graft (TSDFG), which reportedly restores symmetry. In this study, we report our experience with TSDFG and evaluation of the outcomes including the @entity1 questionnaires. METHODS: Two fascia strips from the thigh, 7  *  70  mm in size, were used; one was grafted horizontally at the lower lip to correct the static position, and the other was grafted obliquely at the lateral side by folding and crossing the horizontal fascia. A total of nine @entity1 were treated by this procedure; three procedures were performed individually and six were performed in combination with another static or reanimation procedure. A questionnaire containing a five-point scoring system for facial appearance in multiple situations and other problems was sent to each @entity1 at least 6 months after the surgery. RESULT: From the physicians' point of view, all @entity1 achieved an improvement in symmetry of the lower lip, particularly when opening of the mouth; however, assessments from the @entity1 demonstrated much less satisfaction. The main reason for the dissatisfaction was the slight bulkiness of the red lip. There was one comment that noted that with more treatment, the expectations were higher, and, as a result, the @entity1 could not admit satisfaction at the end. DISCUSSION: TSDFG is a simple and effective procedure for @entity3306 ; however, slight modifications may be required. In addition, there were some gaps in the perception of the results between the physicians and @entity1 , and we need to consider these when planning to treat @entity3306 .
