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Management of temporal nerve injuries.
The Journal of Dermatologic Surgery and Oncology
|February 1, 1985
Summary
Facial nerve temporal branch injuries cause forehead paralysis and eyebrow ptosis. This study details a management approach for these injuries, often occurring after Mohs surgery, using browplasty and browlifts.
Area of Science:
- Plastic Surgery
- Neurology
- Ophthalmology
Background:
- Transection of the temporal branch of the facial nerve leads to frontalis muscle paralysis.
- This paralysis results in an inability to wrinkle the forehead and eyebrow ptosis.
- Eyebrow ptosis can cause upper visual field defects.
Purpose of the Study:
- To outline a rational management approach for temporal branch facial nerve injuries.
- To present findings based on experience with seven patients who sustained nerve damage during Mohs surgery.
- To discuss surgical repair options for functional and cosmetic restoration.
Main Methods:
- Review of seven cases with temporal branch facial nerve injury post-Mohs surgery.
- Analysis of surgical interventions including direct brow-plasty, indirect browlifts (temporal/coronal), and blepharoplasty.
- Evaluation of patient outcomes following reconstructive procedures.
Main Results:
- Patients experienced frontalis muscle paralysis and eyebrow ptosis.
- Surgical repair options were tailored to individual patient needs.
- Combined surgical techniques aimed to restore forehead function and eyebrow position.
Conclusions:
- A structured approach is essential for managing temporal branch facial nerve injuries.
- Surgical repair involving browplasty and browlifts can effectively address forehead paralysis and visual field defects.
- Mohs surgery requires careful consideration of potential facial nerve complications and their management.