Abstract
The facial nerve paralysis is called as the facial paralysis in short and is a general term for the syndrome with main characteristics such as the loss of facial voluntary movement and loss of expressive function. Due to failing to control the facial expression muscles, the patients cannot show emotion, and the morphological distortion and functional disorder will also appear. The consequences of facial paralysis are undoubtedly devastating, and the patients often have strange psychological twist and unsociable and eccentric disposition, which severely affect the normal social activities. The repair is particularly important for the facial paralysis patients after tumor surgery, because in addition to the original damage caused by tumor surgery, the subsequent facial paralysis further aggravates the physical and psychological trauma of the patient. And the timely repair of the facial paralysis in patients after tumor surgery cannot only significantly improve the facial condition of the patient and repair the psychological trauma but also enhance their strength and confidence to overcome the disease, because after facial nerve injury, the facial muscles controlled by the facial nerve will have atrophy and degeneration and eventually become the fibrous tissue without systolic function due to fibrosis. To restore the facial activity, it is required to repair the facial nerve as early as possible, and even it is needed to transplant the muscle into the affected face, and the power is reconstructed to repair facial paralysis. Because there are more facial expression muscles, the location and extent of the paralysis may vary; therefore, a detailed and accurate classification of the facial paralysis sequelae must be carried out at first, and then the appropriate repair methods are formulated combining the characteristics of the primary disease and physical condition, psychological quality, and rehabilitation desire in the patients. The individualized repair of facial paralysis and a series of repairs of facial deformities should be the direction of repair of the facial paralysis sequelae after tumor surgery [1, 2].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Wang W. Plastic surgery [M]. Hangzhou: Zhejiang Science and Technology Press; 1999.
Bianchi B, Ferri A, Sesenna E. Facial reanimation after nerve sacrifice in the treatment of head and neck cancer [J]. Curr Opin Otolaryngol Head Neck Surg. 2012;20(2):114–9.
Terzis JK, Anesti K. Experience with developmental facial paralysis: part II: outcomes of reconstruction [J]. Plast Reconstr Surg. 2012;129(1):66–80.
Stankiewicz JA. A review of the published data on steroids and idiopathic facial paralysis [J]. Otolaryngol Head Neck Surg. 1987;97(5):481–6.
Xiaoming G, Shuxia Z, Baolin L, et al. Prospective study on treatment of facial paralysis with free transplantation of dynamic muscle [J]. Chin J Stomatology. 1994;29(6):323–5.
Papel Ira D. Facial plastic and reconstructive surgery [M]. Cao Yilin, Main Translator. Jinan: Shandong Science and Technology Press; 2004. p. 618–40
Yang C, Wang W, Bin Z, et al. Experimental studies on the use of the muscle bundle with neurovascular bundle to restore innervation of the denervated muscles. Chin J Reparative Reconstr Surg. 1991;3:175–8.
Yang C, Wang W. Further experimental studies on the use of the muscle bundle with neurovascular bundle to restore innervation of the paralyzed muscles. Chin J Reparative Reconstr Surg. 1992;6(4):232.
Yang C, Peipei C. Clinical application of implantation of muscle bundle with neurovascular bundle in treatment of muscle paralysis. Chin J Reparative Reconstr Surg. 1994;8(2):98–100.
Yang C, Peipei C, Dong J, et al. Application of implantation of muscle bundle with neurovascular bundle in repair of late facial paralysis. Chin J Reparative Reconstr Surg. 1995;9(2):84–7.
Yang C, Dong J, Peipei C, et al. Repair of facial paralysis with free muscle transplantation with vascular and neural anastomosis in 48 patient. Chin J Microsurg. 1996;19:19–22.
Yang C, Lei C, Wang W, et al. Transposition of pedicled sternocleidomastoid muscle for repair of facial paralysis in late stage. Chin J Reparative Reconstr Surg. 2002;16(1):48–52.
Yang C, Wang W, Qun Z. The restoration of chronic facial paralysis with a modified technique of sternocleidomastoid muscle transposition. Chin J Plast Surg. 2005;21(2):104–6.
Yang C, Wang W, Wei L, et al. Clinical classification and treatment of personality for facial palsy. J Tissue Eng Reconstr Surg. 2005;1(4):189–91.
Yang C, Wang W, Wei L, et al. Selecting cross face nerve grafting for the treatment of ocular to oral Synkinesis after paralyzed face. J Tissue Eng Reconstr Surg. 2006;2(1):35–7.
Zhang B, Yang C, Wang W, et al. Repair of ocular-oral synkinesis of postfacial paralysis using cross-facial nerve grafting [J]. J Reconstr Microsurg. 2010;26(6):375–80.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Singapore Pte Ltd. and Zhejiang Science and Technology Publishing House
About this chapter
Cite this chapter
Yang, C., Zhou, X. (2018). Repair of Facial Nerve Paralysis After Tumor Surgery. In: Zhou, X., Cao, Y., Wang, W. (eds) Oncoplastic surgery. Plastic and Reconstructive Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-10-3400-8_11
Download citation
DOI: https://doi.org/10.1007/978-981-10-3400-8_11
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-3399-5
Online ISBN: 978-981-10-3400-8
eBook Packages: MedicineMedicine (R0)