OBJECTIVES/HYPOTHESIS Determine the effect of facial reanimation surgery on observer-graded attractiveness and negative facial perception of patients with facial paralysis. STUDY DESIGN Randomized controlled experiment. METHODS Ninety observers viewed images of paralyzed faces, smiling and in repose, before and after reanimation surgery, as well as normal comparison faces. Observers rated t...

BACKGROUND A patient's sex is likely to play an important role in facial paralysis reanimation, with women being superior in terms of development of brain plasticity after reanimation. The purpose of this study was to compare the rate of movement dissociation and spontaneity of men versus women reanimated with gracilis transfer neurotized to the masseteric nerve. METHODS We conducted a retros...

We conducted a retrospective case review at our tertiary care academic medical center to assess the long-term results of microvascular free-tissue transfer to achieve facial reanimation in 3 patients. These patients had undergone wide-field parotidectomy with facial nerve resection. Upper facial reanimation was accomplished with a proximal facial nerve-sural nerve graft, and lower facial moveme...

Introduction: The primary aim of facial reanimation surgery is to restore tone, symmetry, and movement to the paralyzed face. Hypoglossal-facial end-to-side anastomosis provides satisfactory facial reanimation in the irreversible proximal injury of the facial nerve. This study discussed the facial function results of end-to-side anastomosing of hypoglossal nerve to facial nerve when the i...

OBJECTIVE Assess the ability of facial reanimation surgery to restore affect display in patients with severe facial paralysis. STUDY DESIGN Survey of healthy observers' perception of change in facial visage from preoperative to postoperative state. SETTING Academic tertiary referral center. MAIN OUTCOME MEASURES Observer graded affect display. METHODS Ninety naive observers completed a ...

permanent facial paralysis is a catastrophic event for involved patients. in long lasting paralysis with severe facial muscles atrophy, masseter muscle transfer is a very good choice. but its greatest problem is postoperative elongation of flap and gradual diminishing of early results and loss of symmetry. this article advocate a new modification for resolving this problem with concomitant elev...

OBJECTIVES/HYPOTHESIS Objectively measure the ability of facial reanimation surgery to normalize the appearance of facial paralysis using eye-tracking technology. STUDY DESIGN Prospective randomized controlled experiment. METHODS An eye-tracker system was used to record the eye-movement patterns, called scanpaths, of 86 naïve observers gazing at pictures of paralyzed faces (House-Brackmann ...

OBJECTIVE Hypoglossal-facial neurorrhaphy has been widely used for reanimation of paralyzed facial muscles after irreversible proximal injury of the facial nerve. However, complete section of the hypoglossal nerve occasionally results in hemiglossal dysfunction and interferes with swallowing and speech. To reduce this morbidity, a modified technique with partial section of the hypoglossal nerve...