Static techniques are sometimes used in combination with dynamic reconstructive techniques. So, you would place cross-facials to the zygomatic and buccal branches and then see how she would respond. The nerve fibers then slowly grow into the transferred gracilis muscle to allow it to contract over time, usually in months or more. These would be coapted distally to the corresponding buccal and zygomatic nerve branches on the paralyzed side. She is seeking reanimation of her left face 2 years and 3 months later, after 2 unsuccessful surgeries elsewhere. At a later time, particularly if there were signs of exposure keratitis, I would perform a mid lamellar reconstruction. Having worked with Professor W.
cross-facial nerve graft
Heavy lifting, contact sports, and aerobic exercises are to be avoided during this time. I would call an otolaryngologist or neurosurgeon to unroof the mastoid. With the information provided, I would be inclined to explore after 8 weeks of observation. Significant differences were found in preoperative excursion of the affected side of the mouth and the change in excursion. Divided by type of operation, the Gracilis muscle transplantation showed the best results.
Cross-facial nerve grafting — Johns Hopkins University
Access to Document If you've forgotten your password, please enter your email address below and we'll send you instructions on how to reset your password. To perform the latter, an identical facelift-type incision is placed and the individual nerve branches are meticulously identified with a nerve stimulator. The surgery can combined with other procedures, such as eyelid or brow surgery. Ten patients selected the single-stage reconstruction and 15 selected the two-stage reconstruction. Didn't get the message? Bruising is not always present, but it will also improve during the same time period.
Cross-Facial Nerve Grafts See Figure A In cases of paralysis affecting only one side of the face, the normal, unaffected facial nerve on the opposite side may provide a source of nerve fibers. The proximal muscle is then placed on tension, effectively making a static sling on the paralyzed side. Dec, Sural nerve grafting: First I had the , this one gave my face more tone, less drooping, but didn't have any effect on movement and my neurosergeon did this within 3 months of the initial OR. Didn't get the message?