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Principles of Facial Nerve Reconstruction

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Facial Palsy

Abstract

Facial nerve reconstruction is defined as the surgical procedures that aim to restore facial nerve function of the mimetic muscles, therefore one of the requisites for the indication of nerve reconstruction procedures is the viability of the distal nerve branches, mimetic muscles, and the motor endplates. Herein, the authors describe the principles of facial nerve reconstruction including description of the types of nerve injuries, facial nerve reconstruction methods, timing for reconstruction, selection of distal nerve branches, and a new proposed classification of the level of facial nerve injuries in relation to the method of reconstruction.

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References

  1. Seddon H. Three types of nerve injury. Brain. 1943;6:237–88.

    Article  Google Scholar 

  2. Sunderland S. A classification of peripheral nerve injuries producing loss of function. Brain. 1951;74:491–516.

    Article  CAS  Google Scholar 

  3. Mackinnon S, Dellon A. Diagnosis of nerve injury. In: Surgery of the peripheral nerve. New York: Thieme Medical Publishers; 1988. p. 74–9.

    Google Scholar 

  4. Kadakia S, Helman S, Saman M, Cooch N, Wood-Smith D. Concepts in neural coaptation: using the facial nerve as a paradigm in understanding principles surrounding nerve injury and repair. J Craniofac Surg. 2015;26(4):1304–9.

    Article  Google Scholar 

  5. Sun DQ, Andresen NS, Gantz BJ. Surgical management of acute facial palsy. Otolaryngol Clin N Am. 2018;51(6):1077–92.

    Article  Google Scholar 

  6. Walter M. Facial nerve regeneration, growth factors, and return of the mimetic, symmetrical smile. Facial Plast Surg. 1993;9:69–73.

    Google Scholar 

  7. Bascom D, Schaitkin B, May M, et al. Facial nerve repair: a retrospective review. Facial Plast Surg. 2000;16:309–13.

    Article  CAS  Google Scholar 

  8. Kimata Y, Sakuraba M, Hishinuma S, Ebihara S, Hayashi R, Asakage T. Free vascularized nerve grafting for immediate facial nerve reconstruction. Laryngoscope. 2005;115(2):331–6.

    Article  Google Scholar 

  9. Klebuc M, Shenaq SM. Donor nerve selection in facial reanimation surgery. Semin Plast Surg. 2004;18:53–60.

    Article  Google Scholar 

  10. Garcia RM, Hadlock TA, Klebuc MJ, Simpson RL, Zenn MR, Marcus JR. Contemporary solutions for the treatment of facial nerve paralysis. Plast Reconstr Surg. 2015;135(6):1025e–46e.

    Article  CAS  Google Scholar 

  11. Schaverien M, Moran G, Stewart K, Addison P. Activation of the masseter muscle during normal smile production and the implications for dynamic reanimation surgery for facial paralysis. J Plast Reconstr Aesthet Surg. 2011;64:1585–8.

    Article  Google Scholar 

  12. Jensson D, Enghag S, Bylund N, Jonsson L, Wikström J, Grindlund M, Flink R, Rodriguez-Lorenzo A. Cranial nerve coactivation and implication for nerve transfers to the facial nerve. Plast Reconstr Surg. 2018;141(4):582e–5e.

    Article  CAS  Google Scholar 

  13. Terzis JK, Karypidis D. Outcomes of direct muscle neurotization in pediatric patients with facial paralysis. Plast Reconstr Surg. 2009;124:1486.

    Article  CAS  Google Scholar 

  14. Terzis JK, Tzafetta K. Outcomes of mini-hypoglossal nerve transfer and direct muscle neurotization for restoration of lower lip function in facial palsy. Plast Reconstr Surg. 2009;124(6):1891–904.

    Article  CAS  Google Scholar 

  15. Konofaos P, Bassilios Habre S, Wallace RD. End-to-side nerve repair: current concepts and future perspectives. Ann Plast Surg. 2018;81(6):736–40.

    Article  CAS  Google Scholar 

  16. Schaitkin B, Eisenman D. Anatomy of facial muscles. In: May M, Schaitkin B, editors. The facial nerve. 2nd ed. New York: Thieme Medical Publishers; 2000.

    Google Scholar 

  17. Sittel C, Stennert E. Prognostic value of electromyography in acute peripheral facial nerve palsy. Otol Neurotol. 2001;22:100–4.

    Article  CAS  Google Scholar 

  18. May M. Anatomy for the clinician. In: May M, Schaitkin B, editors. The facial nerve. New York: Thieme Medical Publishers; 2000. p. 19–56.

    Google Scholar 

  19. Cristóbal L, Linder S, Lopez B, Mani M, Rodríguez-Lorenzo A. Free anterolateral thigh flap and masseter nerve transfer for reconstruction of extensive periauricular defects: surgical technique and clinical outcomes. Microsurgery. 2017;37(6):479–86.

    Article  Google Scholar 

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Correspondence to Andrés Rodríguez-Lorenzo .

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Rodríguez-Lorenzo, A., Tzou, CH.J. (2021). Principles of Facial Nerve Reconstruction. In: Tzou, CH.J., Rodríguez-Lorenzo, A. (eds) Facial Palsy. Springer, Cham. https://doi.org/10.1007/978-3-030-50784-8_6

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  • DOI: https://doi.org/10.1007/978-3-030-50784-8_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-50783-1

  • Online ISBN: 978-3-030-50784-8

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