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Masseteric nerve supercharge bypass in primary reconstruction of facial nerve

  • Petr VachataEmail author
  • Stepanka Brusakova
  • Jan Lodin
  • Martin Sames
Case Report - Peripheral Nerves
  • 14 Downloads
Part of the following topical collections:
  1. Peripheral Nerves

Abstract

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.

Keywords

Facial nerve palsy Masseteric nerve Nerve transfer Supercharge bypass 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Patient consent

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.

Ethical approval

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.

References

  1. 1.
    Barbour J, Yee A, Kahn LC, Mackinnon SE (2012) Supercharged end-to-side anterior interosseous to ulnar motor nerve transfer for intrinsic musculature reinnervation. J Hand Surg Am 37:2150–2159.  https://doi.org/10.1016/j.jhsa.2012.07.022 CrossRefGoogle Scholar
  2. 2.
    Bianchi B, Ferri A, Ferrari S, Copelli C, Magri A, Ferri T, Sesenna E (2014) Cross-facial nerve graft and masseteric nerve cooptation for one-stage facial reanimation: principles, indications, and surgical procedure. Head Neck 36:235–240.  https://doi.org/10.1002/hed.23300 CrossRefGoogle Scholar
  3. 3.
    Bianchi B, Ferri A, Ferrari S, Copelli C, Salvagni L, Sesenna E (2014) The masseteric nerve: a versatile power source in facial animation techniques. Br J Oral Maxillofac Surg 52:264–269.  https://doi.org/10.1016/j.bjoms.2013.12.013 CrossRefGoogle Scholar
  4. 4.
    Biglioli F, Colombo V, Tarabbia F, Pedrazzoli M, Battista V, Giovanditto F, Dalla Toffola E, Lozza A, Frigerio A (2012) Double innervation in free-flap surgery for long-standing facial paralysis. J Plast Reconstr Aesthet Surg 65:1343–1349.  https://doi.org/10.1016/j.bjps.2012.04.030 CrossRefGoogle Scholar
  5. 5.
    Biglioli F, Frigerio A, Colombo V, Colletti G, Rabbiosi D, Mortini P, Dalla Toffola E, Lozza A, Brusati R (2012) Masseteric-facial nerve anastomosis for early facial reanimation. J Craniomaxillofac Surg 40:149–155.  https://doi.org/10.1016/j.jcms.2011.03.005 CrossRefGoogle Scholar
  6. 6.
    Borschel GH, Kawamura DH, Kasukurthi R, Hunter DA, Zuker RM, Woo AS (2012) The motor nerve to the masseter muscle: an anatomic and histomorphometric study to facilitate its use in facial reanimation. J Plast Reconstr Aesthet Surg 65:363–366.  https://doi.org/10.1016/j.bjps.2011.09.026 CrossRefGoogle Scholar
  7. 7.
    Cotrufo S, Hart A, Payne AP, Sjogren A, Lorenzo A, Morley S (2011) Topographic anatomy of the nerve to masseter: an anatomical and clinical study. J Plast Reconstr Aesthet Surg 64:1424–1429.  https://doi.org/10.1016/j.bjps.2011.05.026 CrossRefGoogle Scholar
  8. 8.
    Davidge KM, Yee A, Moore AM, Mackinnon SE (2015) The supercharge end-to-side anterior interosseous-to-ulnar motor nerve transfer for restoring intrinsic function: clinical experience. Plast Reconstr Surg 136:344e–352e.  https://doi.org/10.1097/PRS.0000000000001514 CrossRefGoogle Scholar
  9. 9.
    Elbert T, Rockstroh B (2004) Reorganization of human cerebral cortex: the range of changes following use and injury. Neuroscientist 10:129–141.  https://doi.org/10.1177/1073858403262111 CrossRefGoogle Scholar
  10. 10.
    Farber SJ, Glaus SW, Moore AM, Hunter DA, Mackinnon SE, Johnson PJ (2013) Supercharge nerve transfer to enhance motor recovery: a laboratory study. J Hand Surg Am 38:466–477.  https://doi.org/10.1016/j.jhsa.2012.12.020 CrossRefGoogle Scholar
  11. 11.
    Faria JC, Scopel GP, Ferreira MC (2010) Facial reanimation with masseteric nerve: babysitter or permanent procedure? Preliminary results. Ann Plast Surg 64:31–34.  https://doi.org/10.1097/SAP.0b013e3181999ea9 CrossRefGoogle Scholar
  12. 12.
    Fattah A, Borschel GH, Manktelow RT, Bezuhly M, Zuker RM (2012) Facial palsy and reconstruction. Plast Reconstr Surg 129:340e–352e.  https://doi.org/10.1097/PRS.0b013e31823aedd9 CrossRefGoogle Scholar
  13. 13.
    Fujiwara T, Matsuda K, Kubo T, Tomita K, Hattori R, Masuoka T, Yano K, Hosokawa K (2007) Axonal supercharging technique using reverse end-to-side neurorrhaphy in peripheral nerve repair: an experimental study in the rat model. J Neurosurg 107:821–829.  https://doi.org/10.3171/JNS-07/10/0821 CrossRefGoogle Scholar
  14. 14.
    Guntinas-Lichius O, Streppel M, Stennert E (2006) Postoperative functional evaluation of different reanimation techniques for facial nerve repair. Am J Surg 191:61–67.  https://doi.org/10.1016/j.amjsurg.2005.05.054 CrossRefGoogle Scholar
  15. 15.
    Hontanilla B, Cabello A (2016) Spontaneity of smile after facial paralysis rehabilitation when using a non-facial donor nerve. J Craniomaxillofac Surg 44:1305–1309.  https://doi.org/10.1016/j.jcms.2016.06.031 CrossRefGoogle Scholar
  16. 16.
    Hontanilla B, Marre D, Cabello A (2014) Masseteric nerve for reanimation of the smile in short-term facial paralysis. Br J Oral Maxillofac Surg 52:118–123.  https://doi.org/10.1016/j.bjoms.2013.09.017 CrossRefGoogle Scholar
  17. 17.
    Hontanilla B, Qiu SS (2012) Transposition of the hemimasseteric muscle for dynamic rehabilitation of facial paralysis. J Craniofac Surg 23:203–205.  https://doi.org/10.1097/SCS.0b013e31824190a6 CrossRefGoogle Scholar
  18. 18.
    Isaacs J, Allen D, Chen LE, Nunley J 2nd (2005) Reverse end-to-side neurotization. J Reconstr Microsurg 21:43–48; discussion 49-50.  https://doi.org/10.1055/s-2005-862780
  19. 19.
    Isaacs JE, Cheatham S, Gagnon EB, Razavi A, McDowell CL (2008) Reverse end-to-side neurotization in a regenerating nerve. J Reconstr Microsurg 24:489–496.  https://doi.org/10.1055/s-0028-1088230 CrossRefGoogle Scholar
  20. 20.
    Kale SS, Glaus SW, Yee A, Nicoson MC, Hunter DA, Mackinnon SE, Johnson PJ (2011) Reverse end-to-side nerve transfer: from animal model to clinical use. J Hand Surg Am 36:1631–1639 e1632.  https://doi.org/10.1016/j.jhsa.2011.06.029 CrossRefGoogle Scholar
  21. 21.
    Klebuc MJ (2011) Facial reanimation using the masseter-to-facial nerve transfer. Plast Reconstr Surg 127:1909–1915.  https://doi.org/10.1097/PRS.0b013e31820e9138 CrossRefGoogle Scholar
  22. 22.
    Letievant E (1873) Traite Des Sections Nerveuses, ParisGoogle Scholar
  23. 23.
    Lifchez SD, Matloub HS, Gosain AK (2005) Cortical adaptation to restoration of smiling after free muscle transfer innervated by the nerve to the masseter. Plast Reconstr Surg 115:1472–1479; discussion 1480-1472CrossRefGoogle Scholar
  24. 24.
    Manktelow RT, Tomat LR, Zuker RM, Chang M (2006) Smile reconstruction in adults with free muscle transfer innervated by the masseter motor nerve: effectiveness and cerebral adaptation. Plast Reconstr Surg 118:885–899.  https://doi.org/10.1097/01.prs.0000232195.20293.bd CrossRefGoogle Scholar
  25. 25.
    Murphey AW, Clinkscales WB, Oyer SL (2018) Masseteric nerve transfer for facial nerve paralysis: a systematic review and meta-analysis. JAMA Facial Plast Surg 20:104–110.  https://doi.org/10.1001/jamafacial.2017.1780 CrossRefGoogle Scholar
  26. 26.
    Nadi M, Ramachandran S, Islam A, Forden J, Guo GF, Midha R (2018) Testing the effectiveness and the contribution of experimental supercharge (reversed) end-to-side nerve transfer. J Neurosurg:1–10.  https://doi.org/10.3171/2017.12.JNS171570
  27. 27.
    Rubin LR, Rubin JP, Simpson RL, Rubin TR (1999) The search for the neurocranial pathways to the fifth nerve nucleus in the reanimation of the paralyzed face. Plast Reconstr Surg 103:1725–1728CrossRefGoogle Scholar
  28. 28.
    Socolovsky M, Martins RS, di Masi G, Bonilla G, Siqueira M (2016) Treatment of complete facial palsy in adults: comparative study between direct hemihypoglossal-facial neurorrhaphy, hemihipoglossal-facial neurorrhaphy with grafts, and masseter to facial nerve transfer. Acta Neurochir 158:945–957; discussion 957.  https://doi.org/10.1007/s00701-016-2767-7
  29. 29.
    Spira M (1978) Anastomosis of masseteric nerve to lower division of facial nerve for correction of lower facial paralysis. Preliminary report. Plast Reconstr Surg 61:330–334CrossRefGoogle Scholar
  30. 30.
    Terzis JK, Konofaos P (2008) Nerve transfers in facial palsy. Facial Plast Surg 24:177–193.  https://doi.org/10.1055/s-2008-1075833 CrossRefGoogle Scholar
  31. 31.
    Terzis JK, Tzafetta K (2009) The “babysitter” procedure: minihypoglossal to facial nerve transfer and cross-facial nerve grafting. Plast Reconstr Surg 123:865–876.  https://doi.org/10.1097/PRS.0b013e31819ba4bb CrossRefGoogle Scholar
  32. 32.
    Tos P, Colzani G, Ciclamini D, Titolo P, Pugliese P, Artiaco S (2014) Clinical applications of end-to-side neurorrhaphy: an update. Biomed Res Int 2014:646128.  https://doi.org/10.1155/2014/646128 CrossRefGoogle Scholar
  33. 33.
    Ylikoski J, Hitselberger WE, House WF, Sanna M (1981) Degenerative changes in the distal stump of the severed human facial nerve. Acta Otolaryngol 92:239–248CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Neurosurgery, Masaryk Hospital, J. EPurkyně UniversityUsti nad LabemCzech Republic
  2. 2.Department of Neurosurgery, Faculty of Medicine in PilsenCharles UniversityPilsenCzech Republic
  3. 3.Department of NeurologyMasaryk HospitalUsti nad LabemCzech Republic

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