Future research should aim at a larger sample, a prospective evaluation and preferably include masseteric-facial nerve transfers. One patient had passed away. We believe that this indicates that the CFNG is of limited importance in oral function, perhaps because of its limited functional abilities. Plast Reconstr Surg ; 99 7: Add to My Bibliography. In an effort to reduce the likelihood of postoperative tongue atrophy and dysfunction, Rubin suggested interdigitating the midline tongue musculature using a Z-plasty technique.
Some head and neck tumours invade or compress the facial nerve leading to facial paresis or paralysis. Facial reanimation interventions have the potential to restore facial symmetry, oral competence, eyelid closure and, in some cases, voluntary animation of the facial muscles. Shipchandler et al, 18 using the May classification score, reported good to excellent results in 12 of 13 patients. Disease-specific QoL was measured because an improvement of QoL should always be the primary aim of facial reanimation surgery. Terzis JK, Tzafetta K.
Facial Nerve Grafts - New York Ear
Print this section Print the entire contents of Print the entire contents of article. The outcomes were compared using photographs, disease-specific quality of life Facial Clinimetric Evaluation FaCE scale , a self-reported synkinesis scale Synkinesis Assessment Questionnaire and the presence of a spontaneous smile. The great auricular nerve graft is anastomosed to the proximal portion of the beveled cut. Beyond the quantitative measurements of commissure excursion, we sought to analyze smile outcomes as they will be seen by a casual observer. Improvement in horizontal, vertical, and overall excursion from preoperative to postoperative measurements is compared with the nonparalyzed side. Hammerschlags' full retirement and practice transfer announcement here.
Division of Plastic Surgery. If a two-stage procedure is performed, the CFNGs are connected to the distal branches of the paralysed facial nerve during the second stage 9 to 12 months later. Mimetic facial expression is rarely restored with a nerve substitution procedure. A clinical trial is a research study involving patient volunteers that are conducted to find safe and effective treatments for a variety of health conditions. Spontaneity in facial expression is believed to be important for psychological wellbeing.