Facial reanimation ppt

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Facial nerve injury and decompression. It is easily harvested and provides an excellent neurovascular pedicle. Donor nerves for grafting facial nerve. Muscle transfer techniques, including regional and free muscle transfer, are the mainstay of dynamic facial reanimation for chronic facial paralysis Table 1. The classic XII-VII transfer involves transection of the entire hypoglossal nerve distal to the ansa cervicalis and coaptation to the main trunk of the facial nerve. Middle fossa approach The middle fossa approach allows decompression of the facial nerve when the injury extends to the labyrinthine segment. Donor nerves for grafting facial nerve:

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Facial nerve cross face graft technique Muscle transposition techniques:

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Surgical Treatment of Facial Paralysis

National Center for Biotechnology InformationU. Static techniques for facial reanimation will be described for the upper and lower zones of the face Table 2. Hypoglossal facial nerve jump graft technique Complications of th nerve repair: Hypoglossal facial nerve jump graft technique: Nerve transfers and nerve crossover procedures are typically the treatment of choice in this period as the native facial musculature is still viable Table 1.

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