Facial Nerve Trauma: Evaluation and Considerations in Management

被引:91
作者
Gordin, Eli [4 ]
Lee, Thomas S. [2 ]
Ducic, Yadranko [1 ,3 ]
Arnaoutakis, Demetri [3 ]
机构
[1] Otolaryngol & Facial Plast Surg Associates, 923 Penn Ave,Suite 100, Ft Worth, TX 76104 USA
[2] Virginia Commonwealth Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, Richmond, VA USA
[3] Univ Texas SW Med Ctr Dallas, Dept Otolaryngol Head & Neck Surg, Dallas, TX 75390 USA
[4] Suny Downstate Med Ctr, Dept Otolaryngol Head & Neck Surg, Brooklyn, NY 11203 USA
关键词
facial nerve injury; intratemporal facial nerve trauma; facial paralysis rehabilitation; temporalis tendon transposition; facial sling; facial reanimation; hypoglossal-facial nerve transfer; free tissue transfer;
D O I
10.1055/s-0034-1372522
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
The management of facial paralysis continues to evolve. Understanding the facial nerve anatomy and the different methods of evaluating the degree of facial nerve injury are crucial for successful management. When the facial nerve is transected, direct coaptation leads to the best outcome, followed by interpositional nerve grafting. In cases where motor end plates are still intact but a primary repair or graft is not feasible, a nerve transfer should be employed. When complete muscle atrophy has occurred, regional muscle transfer or free flap reconstruction is an option. When dynamic reanimation cannot be undertaken, static procedures offer some benefit. Adjunctive tools such as botulinum toxin injection and biofeedback can be helpful. Several new treatment modalities lie on the horizon which hold potential to alter the current treatment algorithm.
引用
收藏
页码:1 / 13
页数:13
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