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Facial nerve grafting

Adjacent functioning nerves can be divided and connected to the damaged facial nerve. Once the healing process is complete, nerve signals will flow from the undamaged facial nerve across the graft into the previously paralyzed facial muscles producing movement. The ability to produce spontaneous, emotionally mediated movement is the greatest benefit of this technique. Before Surgery Video segment : Complete left facial paralysis after excision of facial nerve schwannoma with loss of eye closure and protective blinking.
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Reconstruction | St. Louis Childrens Hospital

The medial canthus is used as a fixed-point reference, and straight lines are drawn to the angles of the mouth. The study dates and dates of analysis were January 1, , to March 31, Intraoperative direct nerve stimulation was performed to assess for the presence of subclinical reinnervation. Patients were followed up for a minimum of 18 months after surgery to evaluate outcomes. Other outcome measures included the duration of paralysis, time to recovery, and evidence of synkinesis. Ten patients underwent nerve grafting by 12 months, 9 patients received grafting after 12 months, and 8 patients had no intervention. Thirty-five patients spontaneously recovered.
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Cross Facial Nerve Graft

Facial nerve grafting and end-to-end anastomosis in the middle ear - tympanic cavity and mastoid. Send correspondence to. Sectioned facial nerves can be repaired with grafting or end-to-end anastomosis. Four underwent grafting and three were offered end-to-end anastomosis.
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Return to: Facial Paralysis surgery for facial nerve paralysis weakness. Henstrom's profile page. For appointment please call: Cross-face nerve grafting is indicated if the proximal ipsilateral facial nerve is not available but the distal stumps are available.
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