Maxillofacial Plastic and Reconstructive Surgery volume 40 , Article number: 22 Cite this article. Metrics details. Cross-facial nerve graft is considered the treatment of choice for facial reanimation in patients with unilateral facial palsy caused by central facial nerve damage. In most cases, a traditional parotidectomy skin incision is used to locate the buccal and zygomatic branches of the facial nerve. In this study, cross-facial nerve graft with the sural nerve was planned for three patients with facial palsy through an intraoral approach.
Cross-facial nerve grafting for facial reanimation
Cross Face Nerve Graft | Houston Methodist
The cross-face nerve graft is a technique used in facial paralysis surgery to bring in nerve stimulation from the non-paralyzed to the paralyzed side of the face. It is similar tothe concept of an extension cord. It involves obtaining a nerve graft, most commonly from the lower leg, and implanting it into the non-paralyzed part of the face. The nerve graft is then connected to working branches of the facial nerve and tunneled to the paralyzed side of the face for innervation. It is used in one of two ways. First, in the setting of early paralysis less than 12 months , the cross-face nerve graft can be used to reinnervate paralyzed branches of the facial nerve directly.
Per-oral cross-facial sural nerve graft for facial reanimation
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Return to: Facial Paralysis surgery for facial nerve paralysis weakness. Henstrom's profile page. For appointment please call: Cross-face nerve grafting is indicated if the proximal ipsilateral facial nerve is not available but the distal stumps are available. Outcome of cross-nerve grafting depends on timing and technique and can provide the best facial reanimation scheme if performed on the right patient.