Cases can sometimes be encountered in which the facial nerve is unfortunately sacrificed, with the length of the remnant facial nerve varying between cases, and we are expected to select the best procedure among various options to obtain optimal facial reanimation. The nasotracheal tube should be fixed to the forehead or the chin, leaving the upper lip free for the subcutaneous tunnel enclosing the nerve graft. I need to have a small follow up surgery in a couple of weeks as I've got some scar tethering, so once that's finished I'll get the complete finished result finally. Its been very changelling. Facial nerve paralysis is a relatively common condition with a yearly incidence of 0. When the procedure is not delayed, the gracilis muscle can be left in place, obviating another muscle transfer and preventing additional donor site morbidity. A The patient had left extended total parotidectomy and left radical neck dissection, the black arrow points to the facial nerve stump.
Assessment of the Cross-face Nerve Graft in the Treatment of Facial Paralysis
If you would like to schedule a consultation with Dr. Recommended by Kofi Boahene. Institutional Subscriptions Send a recommendation to your institution's librarian or information manager to request an extended free trial for all users at your institution. Facial nerve reconstruction was performed in 22 patients facial nerve interpositional graft in 11 patients and hypoglossal-facial nerve transfer in another 11 patients. The cross-face nerve graft is a technique used in facial paralysis surgery to bring in nerve stimulation from the non-paralyzed to the paralyzed side of the face.
anyone with experience with cross-face nerve grafting?
Results of management of facial palsy with microvascular free-muscle transfer. Worse than before, I actually regret undergoing the surgery. Instead of curving in a retroauricular fashion, inferior to the tragus the incision extends sub mentally, a finger breadth below the body of the mandible. Cross Facial Nerve Grafting. Cookies are used by this site.
I have a secured place at university which I will begin towards September and I'm feeling really anxious. Non-Probability Sample Study Population Retrospective cohort of people treated with a cross-face nerve graft or other nerve transfer Criteria Inclusion Criteria:. I had cross facial nerve grafting on 16th April I am a man of 23 years of Argentina with facial palsy from birth due to a tumor. If you would like to schedule a consultation with Dr.