Masseteric nerve supercharge bypass in primary reconstruction of facial nerve
Jazyk angličtina Země Rakousko Médium print-electronic
Typ dokumentu kazuistiky, časopisecké články
PubMed
30980244
DOI
10.1007/s00701-019-03901-9
PII: 10.1007/s00701-019-03901-9
Knihovny.cz E-zdroje
- Klíčová slova
- Facial nerve palsy, Masseteric nerve, Nerve transfer, Supercharge bypass,
- MeSH
- anastomóza chirurgická metody MeSH
- faciální paralýza chirurgie MeSH
- lidé MeSH
- musculus masseter inervace MeSH
- nervový transfer metody MeSH
- nervus facialis chirurgie MeSH
- nervus mandibularis chirurgie MeSH
- senioři MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky 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.
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