Selective Neurectomy of the Facial Nerve with Cross-Face Nerve Graft for Treating Postparalytic Facial Nerve Syndrome
Although postparalytic facial nerve syndrome (PFS) is a frequent sequela of partial facial palsy, no effective treatment is currently available. Herein, we report a case of a cross-face nerve graft (CFNG) technique with selective neurectomy of the facial nerve in a 52-year-old female with moderate P...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2025-05-01
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| Series: | Archives of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2531-3083 |
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| author | Ko Nakao Takako Fujii Hisashi Sakuma |
| author_facet | Ko Nakao Takako Fujii Hisashi Sakuma |
| author_sort | Ko Nakao |
| collection | DOAJ |
| description | Although postparalytic facial nerve syndrome (PFS) is a frequent sequela of partial facial palsy, no effective treatment is currently available. Herein, we report a case of a cross-face nerve graft (CFNG) technique with selective neurectomy of the facial nerve in a 52-year-old female with moderate PFS (especially oral-ocular synkinesis and facial contracture) and a House–Brackmann score grade III. Selective neurectomy resulted in the release of the synkinesis and contractures. Furthermore, we reinnervated the levator muscles of the upper lip and oral commissure by connecting the contralateral facial nerve to the thick zygomatic branch of the facial nerve via a CFNG, which allowed neural signal augmentation of the levator muscles. No obvious PFS recurrence was observed 1 year postoperatively. This procedure is expected to provide a new treatment option for improving PFS because it is effective and less invasive. |
| format | Article |
| id | doaj-art-55a71ed0307c4fe6a3d0f0af59e4a2bb |
| institution | OA Journals |
| issn | 2234-6163 2234-6171 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj-art-55a71ed0307c4fe6a3d0f0af59e4a2bb2025-08-20T02:31:44ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712025-05-01520312513110.1055/a-2531-3083Selective Neurectomy of the Facial Nerve with Cross-Face Nerve Graft for Treating Postparalytic Facial Nerve SyndromeKo Nakao0https://orcid.org/0009-0001-5407-0819Takako Fujii1https://orcid.org/0000-0003-0608-237XHisashi Sakuma2https://orcid.org/0000-0002-6073-6832Department of Plastic and Reconstructive Surgery, Ichikawa General Hospital, Tokyo Dental College, Ichikawa, JapanDepartment of Plastic and Reconstructive Surgery, Ichikawa General Hospital, Tokyo Dental College, Ichikawa, JapanDepartment of Plastic and Reconstructive Surgery, Ichikawa General Hospital, Tokyo Dental College, Ichikawa, JapanAlthough postparalytic facial nerve syndrome (PFS) is a frequent sequela of partial facial palsy, no effective treatment is currently available. Herein, we report a case of a cross-face nerve graft (CFNG) technique with selective neurectomy of the facial nerve in a 52-year-old female with moderate PFS (especially oral-ocular synkinesis and facial contracture) and a House–Brackmann score grade III. Selective neurectomy resulted in the release of the synkinesis and contractures. Furthermore, we reinnervated the levator muscles of the upper lip and oral commissure by connecting the contralateral facial nerve to the thick zygomatic branch of the facial nerve via a CFNG, which allowed neural signal augmentation of the levator muscles. No obvious PFS recurrence was observed 1 year postoperatively. This procedure is expected to provide a new treatment option for improving PFS because it is effective and less invasive.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2531-3083facial nervecontralateral facial nervefacial palsyneural signal augmentation |
| spellingShingle | Ko Nakao Takako Fujii Hisashi Sakuma Selective Neurectomy of the Facial Nerve with Cross-Face Nerve Graft for Treating Postparalytic Facial Nerve Syndrome Archives of Plastic Surgery facial nerve contralateral facial nerve facial palsy neural signal augmentation |
| title | Selective Neurectomy of the Facial Nerve with Cross-Face Nerve Graft for Treating Postparalytic Facial Nerve Syndrome |
| title_full | Selective Neurectomy of the Facial Nerve with Cross-Face Nerve Graft for Treating Postparalytic Facial Nerve Syndrome |
| title_fullStr | Selective Neurectomy of the Facial Nerve with Cross-Face Nerve Graft for Treating Postparalytic Facial Nerve Syndrome |
| title_full_unstemmed | Selective Neurectomy of the Facial Nerve with Cross-Face Nerve Graft for Treating Postparalytic Facial Nerve Syndrome |
| title_short | Selective Neurectomy of the Facial Nerve with Cross-Face Nerve Graft for Treating Postparalytic Facial Nerve Syndrome |
| title_sort | selective neurectomy of the facial nerve with cross face nerve graft for treating postparalytic facial nerve syndrome |
| topic | facial nerve contralateral facial nerve facial palsy neural signal augmentation |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2531-3083 |
| work_keys_str_mv | AT konakao selectiveneurectomyofthefacialnervewithcrossfacenervegraftfortreatingpostparalyticfacialnervesyndrome AT takakofujii selectiveneurectomyofthefacialnervewithcrossfacenervegraftfortreatingpostparalyticfacialnervesyndrome AT hisashisakuma selectiveneurectomyofthefacialnervewithcrossfacenervegraftfortreatingpostparalyticfacialnervesyndrome |