Cross-facial nerve grafting
نویسندگان
چکیده
Cross facial nerve grafting may be utilized in the treatment algorithm of both reversible paralysis, wherein axonal input to existing mimetic mucsles will elicit movement, or in irreversible paralysis, wherein cross facial axons are used to motor a free muscle transfer. This article reviews the indications, operative technique, post-operative care, and potential complications of this technique. © 2012 Elsevier Inc. All rights reserved.
منابع مشابه
Cross-facial nerve graft and masseteric nerve cooptation for one-stage facial reanimation: principles, indications, and surgical procedure.
BACKGROUND The use of facial cross-grafting in acquired recent unilateral facial palsy provides spontaneity and emotional activation. Masseteric nerve for facial animation has mainly been described for reinnervation of neuromuscular transplants, babysitter procedures, or direct facial nerve cooptation. The simultaneous use in a single procedure of cross-facial nerve grafting and masseteric coop...
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PURPOSE: Two-stage facial reanimation procedures with a cross-facial nerve graft often yield less predictable results in older patients due to multifactorial reasons. Some studies strongly suggest that increased donor nerve axonal load improves function of a free muscle transfer after a crossfacial nerve graft. However, strong studies characterizing the relationship between age and facial nerve...
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