Surgical management of facial nerve paralysis in the pediatric population

Barr, Jason; Katz, Karin; Hazen, Alexes

doi:10.1016/j.jpedsurg.2011.06.036

Cited by 30 publications

(26 citation statements)

References 98 publications

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“…Also, the transfer of partial ansa hypoglossi nerve to the facial nerve can be performed with good results. A partial nerve transfer can reduce donor nerve complications (difficulties with speech and mastication) (Barr JS, et al .,2011). …”

Section: -Interposition Nerve Graftsmentioning

confidence: 99%

“…Two types of procedures are used in the surgical treatment of chronic facial nerve paralysis: dynamic and static reanimative procedures (Barr JS, et al,2011 …”

Section: #2-surgery For Chronic Facial Nerve Paralysismentioning

confidence: 99%

“…Free tissue transfer also can be useful to restore large volume defects that could not be reconstructed easily with the comparable "lowvolume" temporalis muscle transposition. The gracilis muscle free flap and the latissimus dorsi muscle flap are frequently used muscles for microneurovascular free tissue transfer (Barr JS, et al .,2011). …”

Section: *Advantagesmentioning

confidence: 99%

“…Thereafter, transect the vascular pedicle and bring the muscle flap up to the face. ( Barr JS, et al .,2011) 3-After suturing the inferior part of the gracilis muscle, the lateral aspect of the orbicularis oris muscle, pull the superior part cranially, giving until the desired muscle tension is reached, and consecutively suture it to the zygomatic arch. Coapt the donor nerve (anterior obturator nerve) to the recipient proximal stump of the facial nerve or the end of the sural crossover nerve graft.…”

Section: *Techniquementioning

confidence: 99%

“…Place the muscle flap in an oblique position and afterward suture it to the lateral aspects of the orbicularis oris muscle and the zygomatic arch, as previously described. (Barr JS, et al .,2011). Overcorrection is essential in the gracilis muscle free flap and the rectus abdominis muscle free flap.…”

Section: *Techniquementioning

confidence: 99%

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New trends in management of facial nerve paralysis

Galal¹

2015

Biolife

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Facial paralysis is an unsatisfactory pathology to treat, and the results of neural reconstruction are unsatisfactory. Fortunately spontaneous recovery is common. We will talk about the new trends in the management of Facial nerve Paralysis, which not include its Diagnosis but also its Treatment in this article which we hope to be useful for patients and of course for E.N.T. Doctors or any Doctors concern with this subject. The aim of this study will be focused on new trends in diagnosis and treatment of lower motor facial nerve Paralysis. The primary use of gracilis free tissue transfer in the head and neck region is in the form of a muscular free flap for the dynamic rehabilitation of long-standing permanent facial paralysis. When combined with cross-facial nerve grafting or used as a single-stage reconstruction, free tissue transfer offers the best prospect for restoring spontaneous emotional facial expression. Benefits of this muscle over other free flaps used for dynamic facial reanimation include consistent anatomy with large caliber vessels, ease of harvest, a 2-team approach, reliability, and acceptable donor site morbidity. Drawbacks include excessive bulk, skin tethering, and a donor site scar that may be minimized with minimally invasive techniques. Secondary procedures to refine the results are often necessary to achieve a good final result. Ultimately, the choice of muscle for dynamic facial reanimation depends on the surgeon's experience and comfort level.

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Section: -Interposition Nerve Graftsmentioning

confidence: 99%

“…Two types of procedures are used in the surgical treatment of chronic facial nerve paralysis: dynamic and static reanimative procedures (Barr JS, et al,2011 …”

Section: #2-surgery For Chronic Facial Nerve Paralysismentioning

confidence: 99%

Section: *Advantagesmentioning

confidence: 99%

Section: *Techniquementioning

confidence: 99%

Section: *Techniquementioning

confidence: 99%

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New trends in management of facial nerve paralysis

Galal¹

2015

Biolife

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Childhood peripheral facial palsy

et al. 2018

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The results of this study indicate that both Bell's palsy and cause-defined facial palsy in children have a very good prognosis. Medical treatment based on corticosteroids is not certainly effective in improving outcomes in children. Recurrent attacks occurred in 6 years from the onset which leads to the conclusion that we should have a long-term follow-up of patients diagnosed with Bell's palsy.

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The development of pain circuits and unique effects of neonatal injury

Brewer

Baccei

2019

J Neural Transm

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Surgical management of facial nerve paralysis in the pediatric population

Cited by 30 publications

References 98 publications

New trends in management of facial nerve paralysis

New trends in management of facial nerve paralysis

Childhood peripheral facial palsy

The development of pain circuits and unique effects of neonatal injury

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