Alternative approach using the combined technique of nerve crossover and cross-nerve grafting for reanimation of facial palsy.
An alternative approach, using a combination of nerve crossover and cross-nerve grafting technique in a single-stage procedure, was developed for the reconstruction of reversible facial palsy. This combined technique provides some benefits such as early facial reanimation resulting from the single-stage procedure, less morbidity and sufficient innervation with an application of the end-to-side anastomosis method, and efficient neural regeneration due to coaptation of the intratemporal facial nerve. Facial nerve rehabilitation, based on double innervation by hypoglossal and contralateral healthy facial nerves, takes advantage of reliable and physiological facial reanimation.
Yamamoto
Yuhei
Y
Department of Plastic and Reconstructive Surgery, Graduate School of Hokkaido University, Sapporo, Japan. yu-h1@med.hakudai.ac.jp
Sasaki
Satoru
S
Sekido
Mitsuru
M
Yokoyama
Toichiro
T
Tsutsumida
Arata
A
Furukawa
Hiroshi
H
Sawamura
Yutaka
Y
Sugihara
Tsuneki
T
D000368:Aged; D004576:Electromyography; D005154:Facial Nerve / Q000637:transplantation*; D005158:Facial Paralysis / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods*; D016896:Treatment Outcome