Restoration of orbicularis oculi muscle function in rabbits with peripheral facial paralysis via an implantable artificial facial nerve system

✓ The aim of this paper was to report on further experience with a new technique for reanimation of the facial nerve. This procedure allows a straight end-to-side hypoglossal–facial anastomosis without interruption of the 12th cranial nerve or the need for graft interposition. It is technically demanding and time consuming but offers an effective, reliable, and extraordinarily quick means of reinnervating the facial muscles, including the orbicularis oculi muscle, thus avoiding the need for a gold weight in the eyelid or a fascial sling.

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Study on Distribution of Terminal Branches of the Facial Nerve in Mimetic Muscles (Orbicularis Oculi Muscle and Orbicularis Oris Muscle)

Annals of Plastic Surgery ◽

10.1097/sap.0b013e318284eca0 ◽

2014 ◽

Vol 72 (1) ◽

pp. 71-74 ◽

Cited By ~ 6

Author(s):

Nobuyuki Mitsukawa ◽

Hiroshi Moriyama ◽

Kei Shiozawa ◽

Kaneshige Satoh

Keyword(s):

Facial Nerve ◽

Orbicularis Oculi Muscle ◽

Orbicularis Oculi ◽

Mimetic Muscles ◽

Orbicularis Oris Muscle

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Melkersson-Rosenthal Syndrome: A Rare Cause of Recurrent Facial Nerve Palsy and Acute Respiratory Distress Syndrome

Case Reports in Neurological Medicine ◽

10.1155/2018/1373581 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Behiye Deniz Kosovali ◽

Asiye Yavuz ◽

Fatma Irem Yesiler ◽

Mustafa Kemal Bayar

Keyword(s):

Acute Respiratory Distress Syndrome ◽

Respiratory Distress Syndrome ◽

Facial Nerve ◽

Respiratory Distress ◽

Facial Paralysis ◽

Distress Syndrome ◽

Facial Nerve Palsy ◽

Ventilatory Support ◽

Clinical Findings ◽

Peripheral Facial Paralysis

Melkersson-Rosenthal Syndrome (MRS) is a rare disease characterized by persistent or recurrent orofacial oedema, relapsing peripheral facial paralysis, and furrowed tongue. Pathologically, granulomatosis is responsible for oedema of face, labia, oral cavity, and facial nerve. We present a patient with MRS admitted to our hospital with acute respiratory distress syndrome (ARDS). 45-year-old woman was admitted to an emergency department with dyspnea and swelling on her hands and face. She was intubated because of ARDS and accepted to intensive care unit (ICU). After weaning from ventilatory support, peripheral facial paralysis was diagnosed and steroid treatment was added to her therapy. On dermatologic examination, oedema on her face, pustular lesions on her skin, and fissure on her tongue were detected. The patient informed us about her recurrent and spontaneous facial paralysis in previous years. According to her history and clinical findings, MRS was diagnosed.

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Hypoglossal-Facial Anastomosis

Journal of Neurosurgery ◽

10.3171/jns-07/07/0244 ◽

2007 ◽

Vol 107 (1) ◽

pp. 244-245 ◽

Cited By ~ 4

Author(s):

Eduardo Fernandez ◽

Francesco Doglietto ◽

Alessandro Ciampini ◽

Liverana Lauretti

Keyword(s):

Facial Nerve ◽

Cranial Nerve ◽

New Technique ◽

Orbicularis Oculi Muscle ◽

Orbicularis Oculi ◽

Fascial Sling ◽

Gold Weight ◽

A New Technique ◽

12Th Cranial Nerve ◽

Graft Interposition

The aim of this paper was to report on further experience with a new technique for reanimation of the facial nerve. This procedure allows a straight end-to-side hypoglossal–facial anastomosis without interruption of the 12th cranial nerve or the need for graft interposition. It is technically demanding and time consuming but offers an effective, reliable, and extraordinarily quick means of reinnervating the facial muscles, including the orbicularis oculi muscle, thus avoiding the need for a gold weight in the eyelid or a fascial sling.

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Skin reference point for the zygomatic branch of the facial nerve innervating the orbicularis oculi muscle (anatomical study)

Surgical and Radiologic Anatomy ◽

10.1007/s00276-012-1023-y ◽

2012 ◽

Vol 35 (3) ◽

pp. 259-262 ◽

Cited By ~ 8

Author(s):

A. Chatellier ◽

D. Labbé ◽

E. Salamé ◽

H. Bénateau

Keyword(s):

Facial Nerve ◽

Reference Point ◽

Anatomical Study ◽

Orbicularis Oculi Muscle ◽

Orbicularis Oculi

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On the origin of synkinesis in hemifacial spasm: results of intracranial recordings

Journal of Neurosurgery ◽

10.3171/jns.1984.61.3.0569 ◽

1984 ◽

Vol 61 (3) ◽

pp. 569-576 ◽

Cited By ~ 148

Author(s):

Aage R. Møller ◽

Peter J. Jannetta

Keyword(s):

Facial Nerve ◽

Hemifacial Spasm ◽

Orbicularis Oculi Muscle ◽

Orbicularis Oculi ◽

Content Type ◽

Root Entry Zone ◽

Marginal Mandibular Branch ◽

Intracranial Recordings ◽

Mandibular Branch ◽

Stimulation Of

✓ Recordings were made from facial muscles and the facial nerve near its entrance into the brain stem in patients with hemifacial spasm (HFS). The purpose of this study was to determine if the synkinesis commonly seen in patients with HFS could be linked to ephaptic transmission at the presumed site of the lesion (at the root entry zone (REZ) of the facial nerve). When the mandibular branch of the facial nerve was electrically stimulated, a response could be recorded from the orbicularis oculi muscles during the operation. The latency of the earliest response was 11.03 ± 0.66 msec (mean response of seven patients ± standard deviation (SD)). With equivalent stimulation a response could also be recorded from the facial nerve near the REZ; the latency of this response was 3.87 ± 0.36 msec. Stimulation of the facial nerve at the same location yielded a response from the orbicularis oculi muscle, with a latency of 4.65 ± 0.25 msec. The latency of the earliest response from the orbicularis oculi muscle to stimulation of the marginal mandibular branch of the facial nerve (11.3 msec) is thus larger than the sum of the conduction times from the points of stimulation of the marginal mandibular branch to the REZ of the facial nerve and from the REZ of the facial nerve to the orbicularis oculi muscle (8.52 ± 0.38 msec). It is therefore regarded as unlikely that the earliest response of the orbicularis oculi muscle to stimulation of the mandibular branch of the facial nerve is a result of “crosstalk” in the facial nerve at a location near the REZ, and it seems more likely that HFS caused by injury of the facial nerve is a result of reverberant activity in the facial motonucleus, possibly caused by mechanisms that are similar to kindling.

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