Skip to main content

Advertisement

Log in

Surgical rehabilitation of facial nerve

  • Clinical Articles
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

The management of facial nerve lesions using microsurgical techniques should be part of the armamentarium of surgeons managing head and neck problems. One has to differentiate between techniques for repair of the nerve itself and secondary reconstructive operations. Direct nerve reconstruction, indirect nerve reconstruction and combined procedures are discussed in detail. Secondary reconstructive methods are indicated if repair of the nerve itself is not possible. The results of 31 cases of facial nerve rehabilitation are presented.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Anderl H (1972) Nerventransplantation bei Fazialisparese. Jahrestagung der Schweizer Gesellschaft für Plastische und Wiederherstellungschirurgie Zürich

  2. Anderl H (1973) Reconstruction of the face through cross facenerve transplantation in facial paralysis. Chir Plastic (Berlin) 2: 17–46

    Google Scholar 

  3. Ballance CA, Ballance HA, Stewart P (1903) Remarks on the operative treatment of chronic facial palsy of peripheral origin. Br Med J 1: 1009–1013

    Google Scholar 

  4. Campbell JB, Basset CAL, Girardo JM, Seymore RJ, Rossi JP (1956) Application of monomolecular filter tubes in bridging gaps in peripheral nerves and for prevention of neuroma formation. A preliminary report. J Neurosurg 13: 635–637

    PubMed  Google Scholar 

  5. Conley JJ (1955) Facial nerve grafting in treatment of parotid gland tumors. Arch Surg 70: 359–366

    Google Scholar 

  6. Conley JJ (1961) Facial nerve grafting. Arch Otolaryng 73: 322

    PubMed  Google Scholar 

  7. Conley JJ, Baker DC (1979) Hypoglossal-facial nerve anastomosis for reinnervation of the paralyzed face. Plast Reconstr Surg 63: 63–72

    PubMed  Google Scholar 

  8. Dott NM (1958) Facial paralysis. Restitution by extrapetrous nerve graft. Proc Roy Soc Med 51: 900–902

    PubMed  Google Scholar 

  9. Draf W (1980) Zur Bedeutung des Transplantatlagers bei der autogenen Nerventransplantation im HNO-Bereich. In: Hierholzer G, Zilch H (eds) Transplantatlager und Implantatlager bei verschiedenen Operationsverfahren, pp 147–156

  10. Draf W, Samii M (1982) Intracranial-intratemporal anastomosis of the facial nerve after cerebellopontine angle tumor surgery. In: Graham MD, House WF (eds) Disorders of the facial nerve. Raven Press, New York, pp 441–449

    Google Scholar 

  11. Fisch U (1969) Die transtemporale, extralabyrinthäre Chirurgie des inneren Gehörgangs. Arch klin exp Ohren-Nasen-Kehlkopfheilkunde 194: 232–243

    Google Scholar 

  12. Fisch U (1970) Die totale Freilegung des Nervus facialis bei laterobasalen Schädelfrakturen. Arch klin exp Ohren-NasenKehlkopfheilkunde 196: 187–193

    Google Scholar 

  13. House WF (1961) Surgical exposure of the internal auditory canal and its contents through the middle cranial fossa. Laryngoscope 71: 1363–1385

    PubMed  Google Scholar 

  14. House WF (1963) Middle cranial fossa approach to the petrous pyramid. Arch Otolaryng 78: 460–469

    PubMed  Google Scholar 

  15. Kapovits M (1961) Indikation und Technik der Gesichtshautraffung bei Fazialisparese. Langenbecks Arch Klin Chir 298: 946

    Google Scholar 

  16. Kautzky R (1956) Die periphere Facialislähmung und ihre Behandlung mittels Nervenpfropfung. In: Schuchardt R (Hrsg) Fortschr Kieferund Gesichtschirurgie Bd II, pp 119–126

  17. Körte W (1903) Ein Fall von Nervenpfropfung des Nervus facialis auf den Nervus hypoglossus. Dtsch Med Wschr 29: 293–295

    Google Scholar 

  18. Lexer E (1931) Die gesamte Wiederherstellungschirurgie. Barth, Leipzig

    Google Scholar 

  19. Loew F (1962) Die kombinierte intrakranielle extratemporale Fazialisplastik nach Dott. Langenbecks Arch Klin Chir 298: 934–935

    Google Scholar 

  20. Loew F, Kivelitz R (1973) Surgical reconstruction in intracranial lesions of cranial nerves. In: Schürmann Ket al (eds) Advances in neurosurgery I. Springer, Berlin Heidelberg New York, pp 242–247

    Google Scholar 

  21. Loew F, Kivelitz R, Hübner H (1974) Perspective on the indications and contraindications of various nerve transplant techniques in case of facial nerve paralysis after pontine angle tumour operations. Chir Plastica 2: 161–167

    Google Scholar 

  22. Miehlke A (1973) Surgery of the facial nerve. Urban and Schwarzenberg, München Berlin Wien, Saunders, Philadelphia London Toronto

    Google Scholar 

  23. Millesi H (1968) Zum Problem der Überbrückung von Defekten aperipherer Nerven. Wien Med Wschr 118: 182–187

    PubMed  Google Scholar 

  24. Millesi H, Berger A, Meissl G (1972) Experimentelle Untersuchungen zur Heilung durchtrennter peripherer Nerven. Chir Plast 1: 174–206

    Google Scholar 

  25. Millesi H, Samii M (1975) Erfahrungen mit verschiedenen Wiederherstellungsoperationen am Nervus facialis. Vortrag 4. Tagung der Vereinigung der Deutschen Plastischen Chirurgen. Frankfurt 5.–8. September 1973. In: Höhler H (Hrsg) Plastische und Wiederherstellungschirurgie. Thieme, Stuttgart New York, pp 111–127

    Google Scholar 

  26. Rosenthal W (1916) Über die muskuläre Neurotisation bei Fazialislähmung. Zbl Chir 43: 489

    Google Scholar 

  27. Rubin LRR (1986) Temporalis and Masseter Muscle Transposition. In: May M (ed) The facial nerve. Thieme, Stuttgart New York, p 665

    Google Scholar 

  28. Samii M, Willebrand H (1970) The technique of and indications for autologous interfascicular nerve transplantation. Excerpta Medica Sect VIII A. Int Congr Ser 217: 39

    Google Scholar 

  29. Samii M (1976) Technik und Ergebnisse von Nervennähten und Nerventransplantationen an den Nervenstämmen der oberen Extremitäten. Schriftenreihe: Unfallmedizinische Tagung der Landesverbände der gewerblichen Berufsgenossenschaften Bonn 29: 159–175

    Google Scholar 

  30. Samii M (1979) Neurochirurgische Gesichtspunkte der Behandlung der Akustikusneurinome mit besonderer Berücksichtigung des N. facialis. Laryngol Rhinol Otol Stuttgart 28: 97–106

    Google Scholar 

  31. Samii M (1980) Nerves of the Head and Neck. In: Management of peripheral nerve problems. Saunders, Philadelphia London Toronto

    Google Scholar 

  32. Samii M (1981) Facio-facial anastomosis. In: Samii M, Jannetta PJ (ed) The cranial nerves. Springer, Berlin Heidelberg New York, pp 515–520

    Google Scholar 

  33. Scaramella L (1970) Preliminary reports on facial nerve anastomosis. Third International Symp on Facial Nerve Surg Osaka

  34. Scaramella L (1971) L'anastomosi trai due nervi fasciali. Arch Ital Otol 82: 207–215

    Google Scholar 

  35. Scaramella L (1984) Traumatic facial paralysis. Acta Otorhinol Ital 4: 549–565

    Google Scholar 

  36. Seddon HJ (1968) Fortschritte in der Behandlung von Nervenverletzungen. Triangel 8: 252–258

    Google Scholar 

  37. Smith JW (1971) A new technique for facial animation. Transaction Fifth International Congress Plastic Reconstructive Surgery. Butterworth Melbourne, pp 83–84

    Google Scholar 

  38. Stennert E (1979) II Combined approach in extratemporal facial nerve reconstruction. Clin Plast Surg 6: 481–486

    Google Scholar 

  39. Stennert E, Miehlke A, Schröder M (1982) Combined approach in extratemporal facial reconstruction. In: Graham MD, House WF (eds) Disorders of the facial nerve. Raven Press, New York

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Draf, W. Surgical rehabilitation of facial nerve. Acta neurochir 92, 67–75 (1988). https://doi.org/10.1007/BF01401975

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01401975

Keywords

Navigation