Sixteen hemifaces were dissected. We will generally give you a prescription for an antibiotic, a pain medicine, antibiotic ointment, as well as an anti-swelling medication. Lateral tarsal strip procedure: Our nurses will be right there with you as you wake up from surgery to give you special attention. Utilizing multiple sources for neurotization of the facial muscles, different potions of the face can be selectively reanimated to reduce the risk of synkinesis and improved control. His research interests include clinical outcomes of advanced techniques and therapeutic methods for the reconstruction of the head and neck. Ralph completed a neurology residency and fellowships in neuromuscular and clinical neurophysiology at the University of California, San Francisco.
Facial Nerve Repair
This website also contains material copyrighted by 3rd parties. The hypoglossal nerve restores tone to the left face and keep the lips symmetric when she talks. Relevant Anatomy To perform the reanimation procedures, the surgeon must have a thorough knowledge of the anatomy of the facial nerve. Terzis JK, Karypidis D. Endoneurium — This membrane, the innermost layer, surrounds each of the individual nerve fibers. A lateral canthotomy incision is shown A. The spatial orientation of the facial nerve has been debated.
Dynamic Reanimation for Facial Paralysis: Background, History of the Procedure, Problem
B One year after hypoglossal-to-facial crossover, patient demonstrates a symmetric smile. Waiting may be appropriate in specific instances, depending on the health of the patient, oncologic surveillance issues, and other concerns. Need a Curbside Consult? Combinations of the above procedures may be appropriate depending on the circumstances.
Description: Epineurium — This is the outer covering, composed of loose areolar tissue, which separates the fascicles and holds them together. Received salary from Medscape for employment. Please enable scripts and reload this page. Treatment of facial paralysis: Neural procedures are indicated if the duration of paralysis is less than 24 months and the electromyography EMG shows fibrillations, indicating denervation with intact motor endplates.