The type of surgical approach may differ depending on the patient’s age, the type and the duration of their facial paralysis, i.e. (B) Patient had temporalis muscle fascia transfer. Chair, Plastic Reconstructive Surgery Professor, Plastic and Reconstructive Surgery. (A) Patient has left facial paralysis after resection of glomus jugulare that involved the facial nerve. Corresponding Author: Alison K. Snyder‐Warwick, MD, Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, 660 S Euclid Ave, Campus Box 8238, St Louis, MO 63110 .
Treatment : Dual innervation with a combination of cross facial nerve graft and hypoglossal nerve transfer.
This type of paralysis may occur as a result of a traumatic head injury or a stroke . Dr. David is a reconstructive and plastic surgery specialist living in Winston-Salem, NC. Reanimation surgery may be needed when a paralyzed facial nerve does not recover.
Facial Reanimation Result of smile restoring surgery for complete left sided facial paralysis.
Facial Animation Surgery for Long-standing Facial Palsy: Opportunities for Shared Decision Making Katherine B. Santosa, MD 1 ; Alexandra M. Keane, BA 2 ; … The cross facial nerve graft recruits facial nerve function from the normal right face to allow a spontaneous smile and movement on the left side.
how long they have had the facial palsy. E-mail Address: snydera@wustl.edu Facial reanimation surgeries are sometimes simply referred to as ‘smile surgery’, but there are in fact several different ways this surgery may be performed. Facial reanimation surgery is the process of bringing a new nerve supply to a specific muscle on the face to regain normal activity.
Note the overcorrection and Steri-strips applied to maintain position.
Muscle transfer, fascial slings, and cross nerve grafting is used to reanimate the a paralyzed half of the face. Dr.David graduated from Indiana University School of Medicine, and completed residency at St. Joseph Mercy Hospital in …
(C) One year after surgery, patient is in repose with excellent symmetry.
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