Masseteric nerve supercharge bypass in primary reconstruction of facial nerve
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Facial paralysis is a severe disease and presents a formidable treatment challenge. A wide variety of surgical procedures are available with limited evidence. Major risk factors of suboptimal recovery include the duration of paralysis as well as higher age. In this paper, we demonstrate reconstruction of the facial nerve via an intratemporal end-to-end anastomosis and concomitant transfer of an intact masseteric nerve to the side of facial nerve trunk. The supercharge (reverse end-to-side) transfer resulted in preservation of target muscles and faster recovery. Masseteric supercharge bypass may be an acceptable surgical technique to restore muscle function in potentially higher risk cases.
KeywordsFacial nerve palsy Masseteric nerve Nerve transfer Supercharge bypass
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Conflict of interest
The authors declare that they have no conflict of interest.
The patient has consented to the submission of the case report for submission to the journal. Additional informed consent was obtained from patient for whom identifying photography is included in this article.
All procedures performed in study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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