Masseteric nerve supercharge bypass in primary reconstruction of facial nerve
Language English Country Austria Media print-electronic
Document type Case Reports, Journal Article
PubMed
30980244
DOI
10.1007/s00701-019-03901-9
PII: 10.1007/s00701-019-03901-9
Knihovny.cz E-resources
- Keywords
- Facial nerve palsy, Masseteric nerve, Nerve transfer, Supercharge bypass,
- 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.
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