Hypoglossal facial nerve jump graft

HFA yields the chance of strong reliable reinnervation and is the most popular operation for facial reanimation Table Of the 20 patients who received a hypoglossal-facial nerve anastomosis from to in our institutions, 12 patients were included in this study, 5 with and 7 without a cross-face nerve graft. The HN is crossed superficially by the occipital artery. However, the general concepts regarding the XII-VII crossover, for the most part, are relevant to the other procedures. Conley and Baker [ 9 ].
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Acta Otorrinolaringol├│gica Espa├▒ola

Often, reanimation surgery is the best way to achieve these goals. In such cases, the decision of whether to re-explore the proximal facial for grafting, as opposed to performing a nerve substitution, or augmenting existing function with other reanimating techniques that do not impair further functional recovery becomes more problematic. Virtually all of their patients underwent nerve substitution immediately or shortly after nerve sacrifice. June 23, References About the Penn Department of Otorhinolaryngology-Head and Neck Surgery The Department of Otorhinolaryngology-Head and Neck Surgery at Penn Medicine provides expert diagnosis and treatment of disorders in the ear, nose and throat as well as those in the head and neck area. This usually improved as facial function improved. This is a preview of subscription content, log in to check access. The Department of Otorhinolaryngology-Head and Neck Surgery at Penn Medicine provides expert diagnosis and treatment of disorders in the ear, nose and throat as well as those in the head and neck area.
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Outcome of different facial nerve reconstruction techniques - ScienceDirect

This page was last edited on 26 December , at The goal of the latter is only to achieve fast reinnervation of the mimetic muscle to prevent irreversible atrophy. Cookies We use cookies to improve your experience with our site. Selection of the type of nerve transfer is based on the individualised needs and condition of the patient. Paralysis of the forehead muscles often causes the height of the eyebrow to drop.
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As a general rule, to establish the best local environment for carrying out microsurgery on a nerve: 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. The size of a half-cut end of the hypoglossal nerve matches a cut end of the injured facial nerve very well. The results of facial reanimation demonstrated facial symmetry and improvement in the facial tone in all cases, and classified as House-Brackmann grade IV in three A parotidectomy incision is made, and the facial nerve is identified as it exits the stylomastoid foramen by using the traditional landmarks ie, the tragal pointer, the sternocleidomastoid, the posterior belly of the digastric, and the stylomastoid suture. In regards to hypoglossal-facial nerve transfer using different modifications, we achieved facial function HB grade III in nine patients and grade IV in two patients.
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