Iñigo MF, Fernández M

Language: Spanish
References: 20
Page: 108-114
PDF size: 1816.05 Kb.

ABSTRACT

Crossed facial nerve grafts and secondary surgical procedures for treating congenital or acquired permanent facial palsy to handle 68 patients, ranging from 2 months to 38 years old of age old. Patients were divided into three groups according to the time paralysis had evolved. In group I, with less than one year, 15 of the 28 patients reached the best clinical evaluation in a 4 point scale, recovering voluntary and involuntary movements, and 7 patients reached category 3 with good voluntary movements. In the second group, only 4 of the 20 patients, with a 1-4 year facial palsy had the best evaluation with 4 points, and 6 patients reached category 3. In Group III, 14 of 20 patients reached category 3 having recovered voluntary movements. Concluding that crossed facial nerve grafts can offer reinnervation after facial palsy; however, the degree of recovery was critically dependent upon the time facial palsy had evolved. Secondary surgical procedures are excellent in those cases with poor muscular reinnervation.

REFERENCES

1. Conley JJ. Hypoglossal facial nerve anastomoses for reinnervation of the paralyzed face. Plast Reconstr Surg 1979; 29: 43-5 1.

2. Rubin T, Gene W. Reanimation of long standing partial facial, paralysis. Plast Reconstr Surg 1986; 77: 41-5.

3. O’Brien BM, Franklin JD. Morrison WA. Cross facial nerve grafts and microneurovascular free muscle transfer for long established facial palsy. Br J Plast Surg 1980; 33: 202.

4. Millesi H, Berger A, Meissl G. Fascicular nerve grafting using mierosurgical technique. Trans Fifth Int Cong Plast Reconst Surg Chastwood, New South Wales. Australia, 1971, London, Butterworths Ltd, 1971.

5. Smith JW. A new technique of facial animation. Trans. Fiftli Int Congr Plast Reconstr Surg, New South Wales. Australia, London: Butterworths Ltd, 1971.

6. Smith, JW. Mierosurgery: review of the literature and discussion of microtechniques. Plast Reconstr Surg 1966; 37: 227.

7. Harii K, Ohmori, K, Torri S. Free gracilis muscle transplantation with neurovascular anastomoses for the treatment of paralyses. Plast Reconstr surg 1976; 57: 133.

8. Manktelow RT. Free muscle transplantation for facial paralysis. Symposium on peripheral nerve microsurgery. Clin Plast Surg 1984; 11: 215-20.

9. Adour K. Diagnosis and management of facial paralysis. N Engl J Med 1982; 307: 308-51.

10. Anderi H. Reconstruction of the face through cross-nerve transplantation in facial paralysis. Chir Plast (Berlin) 1973; 2: 17-20.

11. Anderi HL. Cross face nerve transplantation in facial palsy. In: Converse JM, ed: Reconstructive Plastic Surgery. Philadelphia: W.B. Saunders Co, 1975.

12. Anderl UL. Cross face nerve transplantation in facial palsy (principles and further experience). Trans Sixth Int Congr Plast Reconstr Surg 1975; Paris, Masson.

13. Anderi HL. Selective cross-face nerve grafting in facial paralysis. Principles and application. In: Daniel RK and Terzis, JK, eds: Reconstructive Microsurgery. Boston: Little, Brown and Co. 1977.

14. Anderl HL. Cross face nerve grafting - up to 12 months of seventh nerve disruption. In: Rubin LR. ed: Reanimation of the Paralyzed Face. St Louis, C.V. Mosby Co, 1977.

15. Anderl FI. Cross-face nerve transplant. Clin Plast Surg 1979; 6: 433-49.

16. Scararnella L. L’anastomosis tra i due nervi faciali. Arch Otol 1971; 82: 202-15.

17. Ferreira MC. Cross-facial nerve grafting. Clin Plast Surg 1984; 11: 211-84.

18. Freilinger G. A new technique to correct facial paralysis. Plast Reconstr Surg 1975; 56: 44-8.

19. Blair VP. Facial Nerve. In: Blair, VP, ed. Surgery of the mouth and jaws. St Louis: CV. Mosby Co, 1912: 30-2.

20. Tolosa E. Marti MJ, Kulisersky J. Hemifacial spasm. In: Jankovic J. Tolosa E, eds. Facial Dyskinesias. New York: Raven Press, 1988: 479-91.