scholarly journals Effect of Distal Masseter to Facial Nerve Transfer in Paralytic Patients with Preserved Facial Nerve Continuity on Improving Scaled Measurement of Improvement in Lip Excursion (SMILE): A Vectoral Analysis

2021 ◽  
Vol 58 (4) ◽  
pp. 249-253
Author(s):  
Berke Ozucer ◽  
◽  
Osman Halit Cam ◽  
Keyword(s):  
Facial Nerve ◽  
Nerve Transfer

Masseter-to-facial nerve transfer: Technique and outcomes utilizing a fibrin sealant for coaptation

2018 ◽  
Vol 71 (8) ◽  
pp. 1216-1230 ◽  
Author(s):  
Enrique Salmerón-González ◽  
Eduardo Simón-Sanz ◽  
Elena García-Vilariño ◽  
Alberto Ruiz-Cases
Keyword(s):  
Facial Nerve ◽  
Fibrin Sealant ◽  
Nerve Transfer

Fascicular Turnover Flap for Facial Nerve Gaps and Nerve Transfer for Trigeminal Palsy

Facial Palsy ◽  
2021 ◽  
pp. 375-389
Author(s):  
Isao Koshima ◽  
Shuhei Yoshida ◽  
Ayano Sasaki ◽  
Shogo Nagamatsu ◽  
Kazunori Yokota ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Nerve Transfer

Masseter-to-Facial Nerve Transfer

2014 ◽  
Vol 73 ◽  
pp. S63-S69 ◽  
Author(s):  
Wei Wang ◽  
Chuan Yang ◽  
Qingfeng Li ◽  
Wei Li ◽  
Xianxian Yang ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Nerve Transfer

Hemihypoglossal-Facial Nerve Transfer: Technical Description and Key Points: 2-Dimensional Operative Video

2020 ◽  
Vol 20 (1) ◽  
pp. E53-E54
Author(s):  
Guido Caffaratti ◽  
Sebastián Juan María Giovannini ◽  
Daniel Orfila ◽  
Mariano Socolovsky
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
High Speed ◽  
Hypoglossal Nerve ◽  
Nerve Transfer ◽  
Point Of View ◽  
Detailed Knowledge ◽  
Key Points ◽  
Psychological Point ◽  
Cervical Segment

ABSTRACT Irreversible facial palsy, generally post-traumatic or postsurgical, can have devastating consequences for the patient from a functional, aesthetic, and psychological point of view. Among all of the reconstructive techniques, the hemihypoglossal-facial nerve transfer, which avoids the complete section of the hypoglossal nerve, is preferred by senior authors because of its excellent results and very low morbidity.1-5 This technique can be carried out in any neurosurgical center because it requires only basic instruments of microsurgery and a high-speed drill. However, detailed knowledge of the anatomy of the facial nerve in both its intrapetrosal and extracranial segments and of the hypoglossal nerve in its cervical segment is essential.1,6,7 Thus, previous practice in a cadaveric laboratory is recommended. The purpose of this video is to describe the technical nuances and key points of hemihypoglossal-facial nerve transfer. It was made using the surgical videos of 5 patients with a complete and irreversible facial paralysis who were operated using this technique in our institution between May and September 2019, all of whom consented to the procedure and to use for scientific purposes. The footages were edited, making a film in which the surgical technique is described in a stepwise fashion, emphasizing its most important features. To conclude, we would like to emphasize that the timing of surgery is of utmost importance and that this technique is both effective and reliable. Figures in the video at 00:54 and 01:35 are reprinted by permission from CCC: Springer Nature, Acta Neurochirurgica, Treatment of complete facial palsy in adults: comparative study between direct hemihypoglossal-facial neurorrhaphy, hemihipoglossal-facial neurorrhaphy with grafts, and massater to facial nerve transfer. Socolovsky M, Martins RS, di Masi G, Bonilla G, Siqueira M, vol 158, 945-957, copyright 2016.

Early Outcomes in an Emerging Facial Nerve Center: The Oregon Health and Science University (OHSU) Experience

2020 ◽  
pp. 000348942095737
Author(s):  
Natalie A. Krane ◽  
Jimmy S. Chen ◽  
Haley Hanseler ◽  
Wenelia Baghoomian ◽  
John Ng ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Head And Neck Carcinoma ◽  
Nerve Transfer ◽  
Life Outcomes ◽  
Subjective Quality Of Life ◽  
Neck Carcinoma ◽  
Face Scale ◽  
Measuring Outcomes ◽  
Oral Commissure

Objectives: Nerve transfer (NT) and free gracilis muscle transfer (FGMT) are procedures for reanimation of the paralyzed face. Assessing the surgical outcomes of these procedures is imperative when evaluating the effectiveness of these interventions, especially when establishing a new center focused on the treatment of patients with facial paralysis. We desired to discuss the factors to consider when implementing a facial nerve center and the means by which the specialist can assess and analyze outcomes. Methods: Patients with facial palsy secondary to multiple etiologies, including cerebellopontine angle tumors, head and neck carcinoma, and trauma, who underwent NT or FGMT between 2014 and 2019 were included. Primary outcomes were facial symmetry and smile excursion, calculated using FACE-gram and Emotrics software. Subjective quality of life outcomes, including the Facial Clinimetric Evaluation (FaCE) Scale and Synkinesis Assessment Questionnaire (SAQ), were also assessed. Results: 14/22 NT and 6/6 FGMT patients met inclusion criteria having both pre-and postoperative photo documentation. NT increased oral commissure excursion from 0.4 mm (SD 5.3) to 2.9 mm (SD 6.8) ( P = 0.05), and improved symmetry of excursion ( P < 0.001) and angle ( P < 0.001). FGMT increased oral commissure excursion from −1.4 mm (SD 3.9) to 2.1 mm (SD 3.7), ( P = 0.02), and improved symmetry of excursion ( P < 0.001). FaCE scores improved in NT patients postoperatively ( P < 0.001). Conclusions: Measuring outcomes, critical analyses, and a multidisciplinary approach are necessary components when building a facial nerve center. At our emerging facial nerve center, we found NT and FGMT procedures improved smile excursion and symmetry, and improved QOL following NT in patients with facial palsy secondary to multiple etiologies.

Facial nerve transfer for facial reanimation with parotidoplasty approach

Microsurgery ◽  
2020 ◽  
Vol 40 (8) ◽  
pp. 868-873
Author(s):  
Chase J. Wehrle ◽  
Margaret A. Sinkler ◽  
Jimmy J. Brown ◽  
Edmond F. Ritter
Keyword(s):  
Facial Nerve ◽  
Nerve Transfer ◽  
Facial Reanimation

Intratemporal Facial Nerve Transfer With Direct Coaptation to the Hypoglossal Nerve

2007 ◽  
Vol 28 (4) ◽  
pp. 546-550 ◽  
Author(s):  
Willem P. Godefroy ◽  
Martijn J. A. Malessy ◽  
Aimee A. M. Tromp ◽  
Andel G. L. van der Mey
Keyword(s):  
Facial Nerve ◽  
Hypoglossal Nerve ◽  
Nerve Transfer

Facial Reanimation by Means of the Hypoglossal Nerve: Anatomic Comparison of Different Techniques

2007 ◽  
Vol 61 (suppl_3) ◽  
pp. ONS-41-ONS-50 ◽  
Author(s):  
Alvaro Campero ◽  
Mariano Socolovsky
Keyword(s):  
Facial Nerve ◽  
Hypoglossal Nerve ◽  
Average Length ◽  
Average Distance ◽  
External Auditory Meatus ◽  
Nerve Transfer ◽  
Mastoid Process ◽  
Digastric Muscle ◽  
Facial Reanimation ◽  
Nerve Anastomosis

Abstract Objective: The goal of this study was to determine the various anatomical and surgical relationships between the facial and hypoglossal nerves to define the required length of each for a nerve transfer, either by means of a classical hypoglossal-facial nerve anastomosis or combined with any of its variants developed to reduce tongue morbidities. Methods: Five adult cadaver heads were bilaterally dissected in the parotid and submaxillary regions. Two clinical cases are described for illustration. Results: The prebifurcation extracranial facial nerve is found 4.82 ± 0.88 mm from the external auditory meatus, 5.31 ± 1.50 mm from the mastoid tip, 15.65 ± 0.85 mm from the lateral end of C1, 17.19 ± 1.64 mm from the border of the mandible condyle, and 4.86 ± 1.29 mm from the digastric muscle. The average lengths of the mastoid segment of the facial nerve and the prebifurcation extracranial facial nerve are 16.35 ± 1.21 mm and 18.93 ± 1.41 mm, respectively. The average distance from the bifurcation of the facial nerve to the hypoglossal nerve turn is 31.56 ± 2.53 mm. For a direct hypoglossal-facial nerve anastomosis, a length of approximately 19 mm of the hypoglossal nerve is required. For the interposition nerve graft technique, a 35 mm-long graft is required. For the technique using a longitudinally dissected hypoglossal nerve, an average length of 31.56 mm is required. Exposure of the facial nerve within the mastoid process drilling technique requires 16.35 mm of drilling. Conclusion: This study attempts to establish the exact graft, dissection within the hypoglossal nerve, and mastoid drilling requirements for hypoglossal to facial nerve transfer.

Masseter-to-Facial Nerve Transfer: Is It Possible to Rehabilitate the Function of Both the Paralyzed Eyelid and the Oral Commissure?

2012 ◽  
Vol 36 (6) ◽  
pp. 1353-1360 ◽  
Author(s):  
Wei Wang ◽  
Chuan Yang ◽  
Wei Li ◽  
Qingfeng Li ◽  
Yixin Zhang
Keyword(s):  
Facial Nerve ◽  
Nerve Transfer ◽  
Oral Commissure
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