Cross-face nerve grafting enables the reanimation of the contralateral hemiface in unilateral facial palsy and may recover a spontaneous smile. This chapter discusses various clinically applicable strategies to increase the chances for good functional outcomes by maintaining the viability of the neural pathway and target muscle, increasing the number of reinnervating nerve fibers and selecting functionally compatible donor nerve branches. Adopting those strategies may help to further improve patient outcomes in facial reanimation surgery.
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| http://dx.doi.org/10.1016/j.fsc.2021.03.009 | DOI Listing |
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End-to-Side Cross-face Nerve Graft for Mental Nerve Reconstruction after Segmental Mandibulectomy.
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Division of Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong.
The traditional technique for mental never reconstruction after segmental mandibulectomy is to bridge the gap between the proximal end of the inferior alveolar nerve (IAN) and the mental nerve stump. However, it often presents significant challenges. In cases of proximal IAN stump is close to skull base or kept inside the remaining mandible body and ramus, approaching the proximal end of the IAN can be very challenging.
View Article and Find Full Text PDFLong-term outcomes of sural nerve vertical cross-face graft for lacrimal gland neurotization in neurodeprivative dry eye.
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Evaluation of Long-Term Surgical and Patient-Reported Outcomes after Pediatric Facial Reanimation.
Plast Reconstr Surg
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From the Division of Plastic and Reconstructive Surgery, Department of Surgery.
Background: Outcomes of pediatric facial reanimation beyond 10 years are not known. This cross-sectional study evaluated long-term surgical and patient-reported outcomes of adults who underwent smile reconstruction as children with either a cross-face nerve graft (CFNG) or masseter nerve transfer at least 10 years previously.
Methods: Commissure excursion was quantified with FACE-Gram software at 3 time points: preoperatively, early postoperatively within 2 years, and at long-term follow-up.
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