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Alternative approach using the combined technique of nerve crossover and cross-nerve grafting for reanimation of facial palsy

✍ Scribed by Yuhei Yamamoto; Satoru Sasaki; Mitsuru Sekido; Toichiro Yokoyama; Arata Tsutsumida; Hiroshi Furukawa; Yutaka Sawamura; Tsuneki Sugihara


Publisher
John Wiley and Sons
Year
2003
Tongue
English
Weight
329 KB
Volume
23
Category
Article
ISSN
0738-1085

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✦ Synopsis


Abstract

An alternative approach, using a combination of nerve crossover and cross‐nerve grafting technique in a single‐stage procedure, was developed for the reconstruction of reversible facial palsy. This combined technique provides some benefits such as early facial reanimation resulting from the single‐stage procedure, less morbidity and sufficient innervation with an application of the end‐to‐side anastomosis method, and efficient neural regeneration due to coaptation of the intratemporal facial nerve. Facial nerve rehabilitation, based on double innervation by hypoglossal and contralateral healthy facial nerves, takes advantage of reliable and physiological facial reanimation. © 2003 Wiley‐Liss, Inc. MICROSURGERY 23:251–256 2003


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