Masseteric to buccal branch nerve transfer

To review recent literature pertaining to the use of masseteric-facial nerve neurorrhaphy (MFNN) for facial reanimation in patients with facial paralysis. First, MFNN effectively restores some midface tone and function, including the ability to smile. Second, use of the masseteric nerve minimizes sy...

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Veröffentlicht in:Current opinion in otolaryngology & head and neck surgery 2017-08, Vol.25 (4), p.280-285
Hauptverfasser: Bayrak, Sinehan B, Kriet, J David, Humphrey, Clinton D
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creator Bayrak, Sinehan B
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Humphrey, Clinton D
description To review recent literature pertaining to the use of masseteric-facial nerve neurorrhaphy (MFNN) for facial reanimation in patients with facial paralysis. First, MFNN effectively restores some midface tone and function, including the ability to smile. Second, use of the masseteric nerve minimizes synkinesis, dysarthria, and dysphagia that frequently occur after hypoglossal-facial nerve neurorrhaphy. Third, concurrent cable grafting to the zygomatic branch from an intact proximal facial nerve remnant - when available - can restore dynamic eye closure. Masseteric nerve transfer is an alternative to hypoglossal nerve transfer that improves midface appearance and function for properly selected patients with facial paralysis.
doi_str_mv 10.1097/MOO.0000000000000380
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subjects Facial Nerve
Facial Paralysis - complications
Facial Paralysis - surgery
Humans
Hypoglossal Nerve - transplantation
Masseter Muscle - transplantation
Nerve Transfer - methods
Postoperative Complications - prevention & control
Smiling
title Masseteric to buccal branch nerve transfer
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