Facial nerve grafting

Na Experimental study in the rabbit. Segmental gracilis harvest A portion of the gracilis muscle can be moved from the inner thigh to the face to provide the smiling motion. For people with long-standing facial paralysis greater than months , substitution of the nerve supply alone is not sufficient. The extent of the flap undermining differs because the modiolus of the orbicularis muscle must be accessible to suture to the functional muscle. The artery and vein of the muscle are then microsurgically repaired to the facial artery and vein. In cases of injuries on segment of facial nerve, should surgeons preserve the segment or divide it and place autologous graft?
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Surgical Treatment

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Cross-facial nerve grafting for facial reanimation.

Patients who have suffered from long-term paralysis for more than two years no longer have facial muscle function; therefore, new vascularized muscle needs to be attached to the cross-facial nerve grafts. Physical therapy is continued for 18 months. Prior studies have produced conflicting results secondary to a lack of homogeneity in evaluation methods. Cross facial nerve grafting may be utilized in the treatment algorithm of both reversible paralysis, wherein axonal input to existing mimetic mucsles will elicit movement, or in irreversible paralysis, wherein cross facial axons are used to motor a free muscle transfer. Vascularized ulnar nerve graft. Siemionow M, Brzezicki G. Nerves have both an extrinsic and intrinsic blood supply.
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Treatment of Nerve Injuries | Facial Paralysis Treatment | Facial Paralysis Institute

The journal is contributing immensely to the society at national and international level. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal. The cross-face nerve graft is first implanted on the side of the face where the facial nerve is active. Results displayed on House-Brackmann scale, 1 year after surgery. I hope my collaboration with JCDR will continue for a long time".
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Reconstruction of the intratemporal facial nerve using interposition nerve graft: I thank JCDR for giving me an opportunity to improve my own skills as an author and a reviewer. However, a vascularized lateral femoral nerve graft may also be a useful tool, especially in multiple nerve injuries [Table 5]. Their systematic approach in publication of article in various categories is really praiseworthy. De laatste 20 toevoegingen.
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