Facial Nerve Reanimation

A cervicofacial flap is elevated to expose the distal branches of the facial nerve, for preparation of the cross facial nerve graft. The gracilis muscle is typically utilized, although the serratus muscle or partial latissimus can be used as well. If a two-stage procedure is performed, the CFNGs are connected to the distal branches of the paralysed facial nerve during the second stage 9 to 12 months later. Interpositional graft is used.

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Facial Nerve Reanimation
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Facial Nerve Reanimation
Facial Nerve Reanimation

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Genetic Facial Deformities

Thus, a repair performed 18 months after the onset of paralysis is sure to have a poorer chance of success than a repair performed in the first month after injury. The location of the artery is found by palpation of the pulse near the central aspect of the body of the mandible. Facial plastic and reconstruction surgeon Patrick Byrne answers questions about facial paralysis surgical techniques. The medial and lateral pterygoid, which aid in the lateral movement of the mandible, are also muscles of mastication and are not pictured they are set deep in the mouth, posterior to the palate.
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