Zur Frage der Re-Innervation der Gesichtsmuskulatur nach Resektion des zugehörigen Nervus facialis

Fisch, Ugo; Esslen, E; Ulrich, J.

doi:10.1159/000274816

Cited by 6 publications

(8 citation statements)

References 1 publication

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“…A close study of severe, long-term cases of facial palsy could yield information on the role of the trigeminal nerve in the supply of the facial muscles, both sen¬ sory and motor. Applying the electrodiagnostic tests used by Fisch et al, 64 Buchthal,58 Rushworth, 31 Bynke,33 and others, stimulation of facial nerve branches distal to their junctions with communicating rami from tri¬ geminal and cervical nerve branches might demonstrate evidence of per¬ sisting viable efferent fibers from ei¬ ther the trigeminal or the facial tak¬ ing pathways to the facial muscles by routes other than the facial nerve trunk proper. With returning activity of the facial muscles, the orbicularis oculi reflex, with local anesthesia of the facial nerve trunk, could also pro¬ vide information on accessory effer¬ ent innervation to the muscles of ex¬ pression.…”

Section: Notwithstanding Huber's4 Andmentioning

confidence: 99%

Trigeminal-Facial Nerve Communications: Their Function in Facial Muscle Innervation and Reinnervation

Baumel¹

1974

Archives of Otolaryngology - Head and Neck Surgery

116

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Section: Notwithstanding Huber's4 Andmentioning

confidence: 99%

Trigeminal-Facial Nerve Communications: Their Function in Facial Muscle Innervation and Reinnervation

Baumel¹

1974

Archives of Otolaryngology - Head and Neck Surgery

116

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“…Similarly, the finding of activity in other paralysed facial muscles such as the corrugator glabellae (Kilimov, 1975), levator nasi and levator labii (Lefebvre and Lerique, 1964;Fisch et al, 1968), points to a neurogenic mechanism.…”

Section: Discussionmentioning

confidence: 95%

“…Reinnervation of perioral muscles from the contralateral facial nerve sufficient to produce visible movement, induced either voluntarily or by nerve stimulation, has been reported (Lefebvre and Lerique, 1964;Wochnik-Dyjas, 1964;Passerini et al, 1968;Fisch et al, 1968; Gambi and Tonali, 1973;Kilimov, 1975). Although the observed activity disappeared after anaesthesia of the nonaffected facial nerve (Buchthal, 1957(Buchthal, , 1965Trojaborg and Siemssen, 1972) its basis has not been established with certainty.…”

mentioning

confidence: 99%

Does cross-innervation occur after facial palsy?

Trojaborg¹

1977

Journal of Neurology, Neurosurgery & Psychiatry

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SUMMARY When the unaffected facial nerve was stimulated in 30 patients with facial palsy, evoked action potentials could be recorded from the contralateral (paralysed) perioral muscles. Similarly, in four normal subjects responses were evoked contralateral to the stimulated facial nerve. The latency of these responses in the patients remained unchanged over several months, and they were conducted at a rate compatible with conduction along muscle fibres. The contralateral responses are suggested to be due to conduction along muscle fibres crossing the midline rather than to cross-innervation.Reinnervation of perioral muscles from the contralateral facial nerve sufficient to produce visible movement, induced either voluntarily or by nerve stimulation, has been reported ( Lefebvre and Lerique, 1964;Wochnik-Dyjas, 1964;Passerini et al., 1968;Fisch et al., 1968;Gambi and Tonali, 1973;Kilimov, 1975). Although the observed activity disappeared after anaesthesia of the nonaffected facial nerve (Buchthal, 1957(Buchthal, , 1965Trojaborg and Siemssen, 1972) its basis has not been established with certainty.The purpose of this study was to determine whether the activity evoked either by voluntary effort or by stimulation of the unaffected nerve was due to conduction along nerve fibres or muscle fibres crossing the midline. Patients and methodThirty patients with unilateral facial palsy, due in 12 to Bell's palsy, in 13 to removal of a malignant tumour of the parotid gland or an acoustic neuroma, and in five to trauma, were examined. Four subjects without history, signs, or symptoms of neuromuscular disorders were also included.The electromyogram during full effort was recorded photographically with a three channel electromyograph (DISA) The facial nerve was stimulated by needle electrodes with a bare tip of 3 mm. The near nerve electrode was placed at the stylomastoid foramen. Recording electrodes were placed symmetrically at either side of the midline. Muscle potentials were evoked by stimuli (0.2 ms duration) 4.5 times the threshold (Tf=0.9=40.1 mA, n=54*) delivered via a double-screened transformer (DISA ministim, type 14E01).An attempt was made to measure the propagation velocity of the muscle action potential along fibres of the perioral muscle. For this purpose muscle action potentials were recorded along the long axis of the orbicularis oris at different distances (10-60 mm) from the stimulating bifilar electrode placed near the corner of the mouth (see inset in Fig. 1). The action potentials recorded at threshold stimulation were mainly triphasic of 1.5-3 ms duration with a steep positive to negative deflection. With an increase in stimulus strength, the response increased in amplitude and new spikes appeared indicating activation of additional muscle fibres (Fig. 2, below, left).

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“…Aufgrund von EMG-Untersuchungen haben die mit der Möglichkeit einer kontralateralen Reinnervation nach der Läsion des einen Gesichtsnerven verbundenen Fragen erneut an Aktualität gewonnen (1,2,3,5,6,7,10,11,14,16).…”

Section: Zusammenfassungunclassified

Kontralaterale Reinnervation bei peripherer Fazialisparalyse

Kilimov¹

1984

Fortschr Neurol Psychiatr

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Neurological and EMG studies were performed on 17 patients with peripheral facial palsy in order to investigate the possibility of reinnervation of the palsied mimic muscles close to the middle facial line by outgrown fibres from the contralateral intact facial nerve. The patients were aged between 10 and 77 years (middle age 38 years) with duration of the facial palsy from 2 month to 30 years. In eight patients there were data about double reinnervation - both by the ipsilateral lesioned nerve and by the contralateral intact facial nerve. In contrast to the statement of other authors that the age of the patients and the duration of the disease, its severity or the way of occurrence of facial palsy--acute or chronic, are of importance to the development of contralateral reinnervation, our data do not suggest such a role for these factors.

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Zur Frage der Re-Innervation der Gesichtsmuskulatur nach Resektion des zugehörigen Nervus facialis

Cited by 6 publications

References 1 publication

Trigeminal-Facial Nerve Communications: Their Function in Facial Muscle Innervation and Reinnervation

Trigeminal-Facial Nerve Communications: Their Function in Facial Muscle Innervation and Reinnervation

Does cross-innervation occur after facial palsy?

Kontralaterale Reinnervation bei peripherer Fazialisparalyse

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