Controversies in Contemporary Facial Reanimation

Kim, Leslie; Byrne, Patrick J.

doi:10.1016/j.fsc.2016.03.016

Cited by 45 publications

(32 citation statements)

References 73 publications

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“…The indication for such an invasive procedure should carefully consider the general condition of the patient, the existing associated disorders as well as the long-term prognosis. For older patients with multiple comorbidities, oncologic patients, for patients reluctant to undergo another major procedure or for patients with long-standing facial paralysis, static reanimation offers good outcomes with minimal risks, since it involves local anesthesia and short duration of surgery (7,8).…”

Section: Discussionmentioning

confidence: 99%

Management of facial paralysis following treatment of neurosurgical tumours

Costan¹,

Ciofu²,

Sava³

et al. 2019

roneuro

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The purpose of this study is to present our experience on improving the quality of life of patients with facial paralysis due to an operated intracranial tumour, by performing minimally invasive static reanimation procedures. We reviewed the clinical information pertaining to neurosurgical patients with facial paralysis that underwent static reanimation. The study included 11 patients with complete facial nerve paralysis of all nerve branches, that reported different primary complaints upon presentation. The performed procedures consisted of gold plate insertion into the superior eyelid, inferior eyelid ectropion correction or suture suspension. The functional results were favourable in all cases and the resulting appearance was acceptable. The choice of the different techniques used is discussed. Good outcomes are possible using static reanimation with an adequate adaptation of the techniques to the main patient complaint.

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Section: Discussionmentioning

confidence: 99%

Management of facial paralysis following treatment of neurosurgical tumours

Costan¹,

Ciofu²,

Sava³

et al. 2019

roneuro

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“…The use of a tendon stripper or a plastic drain with a trocar (where the sural nerve is sutured to the end) is helpful for creating the subcutaneous tunnel. [16]…”

Section: Discussionmentioning

confidence: 99%

“…Neurorrhaphy can be done in which 2–3 epineural sutures with 9-0 nylon are used to perform a meticulous microneural anastomosis. [16]…”

Section: Discussionmentioning

confidence: 99%

Temporalis muscle transfer with fascia lata sling: A novel technique for facial reanimation

Dhirawani¹,

Balaji

Singha³

et al. 2018

Ann Maxillofac Surg

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Bell's palsy is an idiopathic facial paralysis which is a lower motor neuron disorder. The ultimate goal of treatment is normalization of paralyzed hemi -face with symmetrical smile and face along with corneal protection. The aim of this article is to revisit all the current options available for management of facial nerve paralysis with main concentration on best surgical management in long-standing cases i.e. regional muscle transfer using temporalis tendon with fascia lata. A Case Report of a 38 year old Indian male is reported with chronic facial palsy. Static Facial paralysis reanimation with fascia lata and tarsorrhaphy is explained step by step. Others Treatment modalities are explained. This present case report adds one more case to the scanty number of publications.

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“…Most of the FNP cases resulting from trauma have in the first echelon of their treatment, neurotropic reconstructive surgical interventions [10,11]: neurorrhaphy, removal of the crushed area and neurorrhaphy, neurolysis (decompression of fibers or nerve trunk) and nerve transfer. The second DOI: 10.2478/cipms-2020-0025 nerve transfer, facial nerve, surgical treatment, electroneuromyography, donor nerve.…”

Section: Comparative Analysis Of the Nerve Transfer Methodologies Usementioning

confidence: 99%

“…echelon of treatment is surgery on the facial muscles and skin. The combined use of such aggressive treatments and procedures is, generally, referred to as "facial reanimation" and is utilized to restore the facial muscle motor functions and tone [10,11]. Another, albeit, more conservative form of treatment for FNP, is the, so-called, "facial rehabilitation" [9].…”

Section: Comparative Analysis Of the Nerve Transfer Methodologies Usementioning

confidence: 99%

Comparative analysis of the nerve transfer methodologies used during surgical treatment of peripheral facial paresis

Tsymbaliuk

Medvediev

Цымбалюк

et al. 2020

Current Issues in Pharmacy and Medical Sciences

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Introduction. When considering the array of biomedical problems associated with facial nerve palsy (FNP), it is apparent that the problem of choosing an effective type of facial nerve transfer is of paramount relevance. Hence, it is to the pursuit of a solution to the above stated problem that our study is devoted.Materials and methods. We analyzed the data obtained as a result of assessing the outcome of 149 patients with trauma-caused FNP who had undergone surgical treatments in the period between 2001-2018. The FN nerve transfer techniques utilized were as such: for group 1 – the use as a donor nerve the branch of the accessory nerve innervating the sternocleidomastoid muscle (n=87); group 2 – the descending branch of the hypoglossal and the branch of the accessory nerve (n=62).Results. In groups 1–2, the FN nerve transfer significantly improved FN function (p <0.01; Wilcoxon Matched Pairs Test), and most patients (n=135; 90.6%) noted an improvement in the clinical status up to degree II-III on the House-Brackmann scale (good result).Conclusion. The use of the accessory nerve branches to the sternocleidomastoid muscle, as donated, ensures restoration of FN function to levels II-III on the House-Brackmann scale in 89.7% of all operated patients, and the results it achieves do not differ from those of the technically more complex nerve transfer of FN by descending branch of the hypoglossal nerve with combination of branches of the accessory nerve.

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Controversies in Contemporary Facial Reanimation

Cited by 45 publications

References 73 publications

Management of facial paralysis following treatment of neurosurgical tumours

Management of facial paralysis following treatment of neurosurgical tumours

Temporalis muscle transfer with fascia lata sling: A novel technique for facial reanimation

Comparative analysis of the nerve transfer methodologies used during surgical treatment of peripheral facial paresis

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