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Brain Plasticity and the Labbé Procedure: Where do we stand?
Zhen Yu Wong1, Jeremias Schmidt2, Frank W de Jongh3
1Department of General Surgery, Nottingham City Hospital, Nottingham, United Kingdom.
JPRAS Open
|June 16, 2025
Summary
The Labbé procedure for facial paralysis (FP) may not rely solely on brain plasticity. This review explores alternative mechanisms like trigeminal-facial neurotization for improved FP treatment.
Area of Science:
- Neurosurgery
- Neuroscience
- Rehabilitation Medicine
Background:
- Facial paralysis (FP) significantly impacts quality of life.
- The Labbé procedure is a surgical option for facial reanimation.
- The role of brain plasticity in Labbé procedure success is debated.
Purpose of the Study:
- To review brain plasticity in the context of the Labbé procedure.
- To discuss trigeminal-facial neurotization as an alternative mechanism.
- To highlight areas for future research in facial reanimation.
Main Methods:
- Literature review of studies on the Labbé procedure.
- Analysis of evidence for brain plasticity in facial reanimation.
- Exploration of alternative neurotization pathways.
Main Results:
- Limited evidence supports brain plasticity as the primary mechanism for Labbé procedure success.
- Trigeminal-facial neurotization presents a potential alternative explanation.
- Current understanding of underlying mechanisms requires further investigation.
Conclusions:
- Rethinking the mechanisms of the Labbé procedure is necessary.
- Investigating trigeminal-facial neurotization could offer new therapeutic insights.
- Further research is crucial for optimizing FP treatment and rehabilitation.
Keywords:
Brain plasticity, lateralityFacial palsyFacial reanimation surgeryLabbé procedurePeripheral facial palsyMore Related Videos
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