The operation is performed under general anaesthetic, which means that you are asleep throughout. Surgical reconstruction depends on both the extent of the injury and the level of the injury. Specifically, it supplies sensation to a quarter-sized patch along the outer and upper part of the midfoot. Patients are monitored for hematoma formation and muscle perfusion anomalies. Cutting a small branch will usually have no issue, but the theoretical possibility of damage to the nerve exists; significant damage may cause a facial palsy on the unaffected side. Facial movements are gradually realized about 8 months following the second stage of cross face nerve graft surgery, and they continue to improve for 2 years. Current stem cell therapy requires additional study before it can be clinically useful for facial nerve repair.
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J Plast Reconstr Aesthet Surg. No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication. The facial artery and facial vein are identified and tagged with vessel loops in preparation for the muscle transplant. Patients under the age of 55 who have had long-term paralysis may qualify for cutting-edge surgical procedures to recreate dynamic and spontaneous facial movements and smile mechanisms. Cross Facial Nerve Grafting. The temporalis and masseter muscles are muscles of mastication.
Treatment of Nerve Injuries | Facial Paralysis Treatment | Facial Paralysis Institute
The illustration divides the face in half and shows the facial muscles on the woman's left side and the branches of the facial nerve on the other. The catheter lumen is moistened with saline and passage of the nerve is facilitated with suction application, taking care to secure one end of the nerve. A contralateral cervicofacial flap is elevated on the paralyzed side to receive the nerve graft ending. The nerve graft is passed from through the subcutaneous tunnel of the upper lip from the non-paralyzed to the paralyzed side, using a large red rubber catheter.
Nerve Transplant facial paralysis treatment, procedures
Description: For clarity, the nerve is depicted on the right side of the face and the facial muscles on the left. Azizzadeh by calling today! Slight weakness noticeable on close inspection. The free ending nerve on the paralyzed side of the face is left anterior to the tragus and the incisions are closed bilaterally. Lesions involving transection of the facial nerve in the extra temporal course are repaired primarily if adequate nerve is present proximally and distally.