Direct pressure on the face should be avoided for the first three weeks. If you think you should be able to access this content, please contact us. The cross-facial nerve graft provides appropriate innervation from the nonparalyzed to the paralyzed side of the face. We work with two teams, a surgeon and assistant on the face and a second surgeon and assistant harvesting the nerve grafts from the leg. The goals of facial paralysis surgery include protecting the eye, preventing drooling and re-establishing facial symmetry both in motion and at rest. Inset of Functional Muscle.
cross-facial nerve graft
Aim of this study was to assess the effect of dynamic facial nerve reconstructions using a CFNG. Are you saying that your greatest concern, if you did repair the nerve, would be an outcome of synkinesis, which would be much more deforming? She suffered complete right facial paralysis, together with loss of sensation in the mandibular region of the trigeminal nerve. A, This 8-year-old girl was thrown from a horse and then stepped on by another horse. A cross-face-nerve-graft CFNG is one of the most commonly used techniques for facial reanimation.
California Pacific Medical Center - Microsurgery
Bibliotheek van de RUG. Two other minor local infections developed after ancillary procedures. Methods Surgical Technique Epinephrine 1: The main problem with the use of cross-face nerve grafting alone is the weakness of the axonal stimulus carried on it, which has led to frequent failure with the technique. Request your consultation with Dr. Vaughan ED , Richardson D: Cross-facial nerve grafting Ryan M.
And for the buccal, because there is great overlap, wouldn't you prefer a cross-facial nerve graft? Read our disclaimer for details. Yes, because you can expect fibrillations in any muscle that is denervated. She also had marginal mandibular nerve paralysis as well. In bilateral paralysis, reconstruction can be performed in a single stage with a different strategy than we use in unilateral palsy. View large Download slide.