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Masseteric nerve use in facial reanimation.

Douglas K Henstrom1

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, Iowa, USA.

Current Opinion in Otolaryngology & Head and Neck Surgery
|July 9, 2014
PubMed
Summary

The masseteric nerve is increasingly used for facial reanimation surgery, offering versatile techniques for various paralysis types. Patient factors and timing guide the selection of appropriate surgical methods for optimal outcomes.

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Area of Science:

  • Plastic Surgery
  • Neurosurgery
  • Reconstructive Surgery

Background:

  • Facial paralysis presents a significant reconstructive challenge.
  • The masseteric nerve is an emerging option for facial reanimation.

Purpose of the Study:

  • To review the literature on masseteric nerve utilization in facial reanimation.
  • To outline indications for different techniques based on paralysis timing and patient factors.

Main Methods:

  • Literature review of masseteric nerve applications in facial reanimation.
  • Analysis of techniques including direct neurotization, 'baby-sitter' procedures, and free tissue transfer.

Main Results:

  • Masseteric nerve use in facial reanimation is gaining acceptance across diverse clinical scenarios.
  • Surgeon experience, patient selection, and nerve characteristics are crucial for success.

Conclusions:

  • The masseteric nerve offers a versatile, low-morbidity option for facial reanimation due to its anatomical advantages.
  • Appropriate technique selection depends on paralysis type, timing, and individual patient factors.
  • Understanding the benefits and drawbacks of masseteric nerve use is essential for surgeons.