Differential Reanimation of the Upper and Lower Face Using 2 Interpositional Nerve Grafts in Total Facial Nerve Reconstruction

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Differential Reanimation of the Upper and Lower Face Using 2 Interpositional Nerve Grafts in Total Facial Nerve Reconstruction

Radical parotidectomy often results in complex facial nerve defects involving the main nerve trunk and multiple distal nerve branches. Although cable nerve grafting often leads to good nerve regeneration, severe synkinesis due to aberrant axonal regrowth is inevitable. In such situations, the use of 2 motor sources to differentially reanimate the upper and lower face could minimize synkinesis. ...

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Reconstruction of complex peripheral facial nerve defects by a combined approach using facial nerve interpositional graft and hypoglossal-facial jump nerve suture.

OBJECTIVES/HYPOTHESIS To describe a modified facial nerve reconstruction technique for complex defects of the facial fan after parotid surgery that avoids synkinesis between upper and lower face. STUDY DESIGN Retrospective case series. METHODS Patients who had undergone radical parotidectomy with a large defect of the facial fan, reconstruction of the upper face by facial nerve interpositio...

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Promising Technique for Facial Nerve Reconstruction in Extended Parotidectomy

Introduction: Malignant tumors of the parotid gland account scarcely for 5% of all head and neck tumors. Most of these neoplasms have a high tendency for recurrence, local infiltration, perineural extension, and metastasis. Although uncommon, these malignant tumors require complex surgical treatment sometimes involving a total parotidectomy including a complete facial nerve resection. Severe fu...

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Facial Nerve Reanimation With Temporalis Muscle Lengthened

s: Management of facial paralysis varies according to the cause, the extent and type of paralysis (total vs partial, unilateral vs bilateral) as well as the duration of paralysis. Facial nerve reconstruction including restitution of the facial symmetry and facial expression is a great surgical challenge. Considering the often disappointing results achieved with the currently available technique...

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ژورنال

عنوان ژورنال: Plastic and Reconstructive Surgery - Global Open

سال: 2015

ISSN: 2169-7574

DOI: 10.1097/gox.0000000000000530