Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Mimetic surgery for the paralyzed face.

J G Spector

    The Laryngoscope
    |December 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Neural repairs offer superior outcomes for facial nerve paralysis compared to muscle-fascia transpositions or plastic reconstructions. This study analyzed surgical treatments for 110 patients, finding nerve repair yielded better cosmetic and functional results.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Delayed regional metastases, distant metastases, and second primary malignancies in squamous cell carcinomas of the larynx and hypopharynx.

    The Laryngoscope·2001
    Same author

    Rabbit facial nerve regeneration in autologous nerve grafts after antecedent injury.

    The Laryngoscope·2000
    Same author

    Stage I (T1 N0 M0) squamous cell carcinoma of the laryngeal glottis: therapeutic results and voice preservation.

    Head & neck·1999
    Same author

    Management of stage II (T2N0M0) glottic carcinoma by radiotherapy and conservation surgery.

    Head & neck·1999
    Same author

    Axonal regeneration in severed peripheral facial nerve of the rabbit: relation of the number of axonal regenerates to behavioral and evoked muscle activity.

    The Annals of otology, rhinology, and laryngology·1998
    Same author

    Effects of thrombin and protease nexin-1 on peripheral nerve regeneration.

    The Annals of otology, rhinology, and laryngology·1998

    Area of Science:

    • Neurosurgery
    • Plastic Surgery
    • Otolaryngology

    Background:

    • Facial nerve paralysis presents significant cosmetic and functional challenges.
    • Surgical interventions are employed for various etiologies, including oncologic procedures and idiopathic cases.
    • Treatment efficacy depends on the paralysis type (total vs. segmental) and surgical approach.

    Purpose of the Study:

    • To evaluate and compare the outcomes of different surgical methods for treating facial nerve paralysis.
    • To determine the most effective surgical techniques for restoring facial function and aesthetics.
    • To establish a hierarchy of surgical procedures based on functional and cosmetic results.

    Main Methods:

    • A retrospective analysis of 110 patients with facial nerve paralysis treated with diverse surgical techniques.

    Related Experiment Videos

  • Categorization of patients into total (n=86) and segmental (n=24) paralysis groups.
  • Surgical interventions included neural reconstructions, neuromuscular pedicles, muscle-fascia transpositions, and plastic reconstructions.

    • Main Results:

    • Neural repairs demonstrated superior cosmetic and functional results compared to muscle-fascia transpositions and plastic reconstructions.
    • Specific neural repair techniques showed varying degrees of success, with a clear hierarchy identified.
    • Average follow-up periods were 3.2 years for neural repair and 14.1 months for muscle-fascia transpositions.

    Conclusions:

    • Neural repair techniques are recommended as the primary surgical approach for facial nerve paralysis.
    • The choice of surgical method should be guided by the specific type of paralysis and desired functional and cosmetic outcomes.
    • Further research may refine the hierarchical ranking of specific neural repair procedures.