Definitions
Epineurium – Layer of connective tissue that surrounds the entire nerve.
Endoneurium – Layer of connective tissue that surrounds the individual axons.
House-Brackmann grading scale – Scale between I and VI is used to grade the function of the facial nerve.
Neurorrhaphy – Suturing two ends of a nerve together.
Perineurium – Middle layer of connective tissue encompassing a bundle of nerve fibers.
Wallerian degeneration – Process that occurs after a nerve is cut or damaged in which the axon degenerates distal to the injury.
Introduction
Facial paralysis is a devastating problem that causes both functional and psychological sequelae. The management is largely based on determining the etiology and likelihood of spontaneous recovery. While reversible injuries are largely treated with emphasis on eye care, irreversible injuries require a different treatment paradigm. Reinnervation of the motor end plates via dynamic procedures may be capable of repair when evaluated within an...
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References
Bae YC, Zucker RM, Manktelow RT et al (2006) A comparison of commissure excursion following gracilis muscle transplantation for facial paralysis using a cross face nerve graft versus the motor nerve to the masseter nerve. Plast Reconstr Surg 117:2407–2413
Brenner MJ, Hess JR, Myckatyn TM et al (2006) Repair of motor nerve gaps with sensory nerve inhibits regeneration in rats. Laryngoscope 116:1685–1692
Byrne PJ, Kim M, Boahene K et al (2007) Temporalis tendon transfer as part of a comprehensive approach to facial nerve reanimation. Arch Facial Plast Surg 9:234–241
Faria JC, Scopel GP, Ferreira MC (2010) Facial reanimation with masseteric nerve: babysitter or permanent procedure? Preliminary results. Ann Plast Surg 64:31–34
Hazin R, Azizzadeh B, Bhatti MT (2009) Medical and surgical management of facial nerve palsy. Curr Opin Ophthalmol 20:440–450
Humphrey CD, Kreit JD (2008) Nerve repair and cable grafting for facial paralysis. Facial Plast Surg 24:170–176
Lee EI, Hurvitz KA (2008) Cross-facial nerve graft: past and present. J Plast Reconstr Aesthet Surg 61:250–256
Lin V, Jacobson M, Dorion J et al (2009) Global assessment of outcomes after varying reinnervation techniques for patients with facial paralysis subsequent to acoustic neuroma excision. Otol Neurotol 30:408–413
Manktelow R, 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
Meltzer NE, Alam DS (2010) Facial paralysis rehabilitation: state of the art. Curr Opin Otolaryngol Head Neck Surg 18:232–237
Moradzadeh A, Borschel GH, Luciano JP et al (2008) The impact of motor and sensory nerve architecture on nerve regeneration. Exp Neurol 212:370–376
Rosson GD, Redett RJ (2008) Facial palsy: anatomy, etiology, grading, and surgical treatment. J Reconstr Microsurg 24:379–389
Shipchandler T, Seth R, Alam D (2011) Split hypoglossal-facial nerve neurorraphy for treatment of the paralyzed face. Am J Otolaryngol 32(6):511–516
Terzis JK, Tzafetta K (2009) The babysitter procedure: minihypoglossal to facial nerve transfer and cross-facial nerve grafting. Plast Reconstr Surg 123:865–876
Venail F, Sabatier P, Mondain M et al (2009) Outcomes and complications of direct end-to-side facial-hypoglossal nerve anastomosis according to the modified May technique. J Neurosurg 110:786–791
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Donnellan, K.A., Alam, D.S. (2013). Dynamic Facial Nerve Reanimation. In: Kountakis, S.E. (eds) Encyclopedia of Otolaryngology, Head and Neck Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-23499-6_199
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DOI: https://doi.org/10.1007/978-3-642-23499-6_199
Publisher Name: Springer, Berlin, Heidelberg
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