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Masseteric nerve supercharge bypass in primary reconstruction of facial nerve
P. Vachata, S. Brusakova, J. Lodin, M. Sames,
Language English Country Austria
Document type Case Reports, Journal Article
NLK
Medline Complete (EBSCOhost)
from 2000-01-01
Springer Nature OA/Free Journals
from 1950-02-01
- MeSH
- Anastomosis, Surgical methods MeSH
- Facial Paralysis surgery MeSH
- Humans MeSH
- Masseter Muscle innervation MeSH
- Nerve Transfer methods MeSH
- Facial Nerve surgery MeSH
- Mandibular Nerve surgery MeSH
- Aged MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Aged MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
Facial paralysis is a severe disease and presents a formidable treatment challenge. A wide variety of surgical procedures are available with limited evidence. Major risk factors of suboptimal recovery include the duration of paralysis as well as higher age. In this paper, we demonstrate reconstruction of the facial nerve via an intratemporal end-to-end anastomosis and concomitant transfer of an intact masseteric nerve to the side of facial nerve trunk. The supercharge (reverse end-to-side) transfer resulted in preservation of target muscles and faster recovery. Masseteric supercharge bypass may be an acceptable surgical technique to restore muscle function in potentially higher risk cases.
References provided by Crossref.org
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- $a Vachata, Petr $u Department of Neurosurgery, Masaryk Hospital, J. E, Purkyně University, Socialni pece 3316/12A, 40113, Usti nad Labem, Czech Republic. vachata@gmail.com. Department of Neurosurgery, Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 30100, Pilsen, Czech Republic. vachata@gmail.com.
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- $a Facial paralysis is a severe disease and presents a formidable treatment challenge. A wide variety of surgical procedures are available with limited evidence. Major risk factors of suboptimal recovery include the duration of paralysis as well as higher age. In this paper, we demonstrate reconstruction of the facial nerve via an intratemporal end-to-end anastomosis and concomitant transfer of an intact masseteric nerve to the side of facial nerve trunk. The supercharge (reverse end-to-side) transfer resulted in preservation of target muscles and faster recovery. Masseteric supercharge bypass may be an acceptable surgical technique to restore muscle function in potentially higher risk cases.
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