title: Alternative approach using the combined technique of nerve crossover and cross-nerve grafting for reanimation of facial palsy.
abstract: 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.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Graduate School of Hokkaido University, Sapporo, Japan. yu-h1@med.hakudai.ac.jp
authors.forename: Yuhei
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Satoru
authors.initials: S
authors.lastname: Sasaki
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Sekido
authors.forename: Toichiro
authors.initials: T
authors.lastname: Yokoyama
authors.forename: Arata
authors.initials: A
authors.lastname: Tsutsumida
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Furukawa
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Sawamura
authors.forename: Tsuneki
authors.initials: T
authors.lastname: Sugihara
mesh_terms: 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