Gordin E, Lee TS, Ducic Y, Arnaoutakis D. Facial reanimation can be divided into two groups—static suspension and dynamic reanimation. Salivary Gland Neoplasms in Children and Adolescents. Arriaga and Brackmann reported that Unlike the temporalis, the vector of smile of the masseter muscle is in the buccinator-risorius direction, which produces a less natural smile. XII-VII hook-up, XII-VII jump graft, and cross-facial graft.
Facial Nerve Repair
These include advances in the molecular biology of nerve regeneration and improved techniques of repair. In general, transected nerves produce the best result when reapproximated. Acoustic neuroma surgery is an example of a procedure that puts the facial nerve at risk in the cerebellopontine angle, in this case. Facial nerve repair is infrequently required, because most of these patients regain function spontaneously. Inflammatory causes of facial paralysis include sarcoidosis. Plan of the facial and intermediate nerves and their communication with other nerves.
Facial Nerve Repair: Background, Indications, Contraindications
In addition, humoral factors have been identified as having a role in facial nerve regeneration. J Plast Reconstr Aesthet Surg. Nerve crossover techniques are used when the proximal nerve stump is inadequate or inaccessible and cannot be used for grafting. Indications Facial nerve repair is an option for cases of facial paralysis in which there is no reasonable likelihood of spontaneous return of function. Technical Considerations The facial nerve may be divided into intracranial, intratemporal, and extratemporal components see the image below.
Description: This occurs after long-standing paralysis in which fibrosis develops along with atrophy of the facial musculature. Need a Curbside Consult? In this regard, some general principles will be helpful. Essential in determining whether repair is indicated are the cause of the paralysis and the duration of time since the injury.