Selective neurectomy of the facial nerve with cross face nerve graft for treating post-paralytic facial nerve syndrome
Although post-paralytic 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 technique with selective neurectomy of the facial nerve in a 52-year-old female with moderate PFS (es...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
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| Series: | Archives of Plastic Surgery |
| 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 post-paralytic 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 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 contralateral facial nerve to the thick zygomatic branch of the facial nerve via a cross-face nerve graft, which allowed neural augmentation of the “smile muscle.” No obvious PFS recurrence was observed one 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 | Kabale University |
| issn | 2234-6163 2234-6171 |
| language | English |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj-art-55a71ed0307c4fe6a3d0f0af59e4a2bb2025-02-05T00:05:24ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-617110.1055/a-2531-3083Selective neurectomy of the facial nerve with cross face nerve graft for treating post-paralytic facial nerve syndromeKo Nakao0Takako Fujii1Hisashi Sakuma2Department of Plastic and Reconstructive Surgery, Tokyo Dental College Ichikawa General HospitalPlastic and Reconstructive Surgery, Tokyo Dental University Ichikawa General Hospital, Ichikawa, JapanPlastic and Reconstructive Surgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa-city, JapanAlthough post-paralytic 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 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 contralateral facial nerve to the thick zygomatic branch of the facial nerve via a cross-face nerve graft, which allowed neural augmentation of the “smile muscle.” No obvious PFS recurrence was observed one 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-2531-3083 |
| spellingShingle | Ko Nakao Takako Fujii Hisashi Sakuma Selective neurectomy of the facial nerve with cross face nerve graft for treating post-paralytic facial nerve syndrome Archives of Plastic Surgery |
| title | Selective neurectomy of the facial nerve with cross face nerve graft for treating post-paralytic facial nerve syndrome |
| title_full | Selective neurectomy of the facial nerve with cross face nerve graft for treating post-paralytic facial nerve syndrome |
| title_fullStr | Selective neurectomy of the facial nerve with cross face nerve graft for treating post-paralytic facial nerve syndrome |
| title_full_unstemmed | Selective neurectomy of the facial nerve with cross face nerve graft for treating post-paralytic facial nerve syndrome |
| title_short | Selective neurectomy of the facial nerve with cross face nerve graft for treating post-paralytic facial nerve syndrome |
| title_sort | selective neurectomy of the facial nerve with cross face nerve graft for treating post paralytic facial nerve syndrome |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2531-3083 |
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