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Published in: Acta Neurochirurgica 6/2019

01-06-2019 | Facial Palsy | Case Report - Peripheral Nerves

Masseteric nerve supercharge bypass in primary reconstruction of facial nerve

Authors: Petr Vachata, Stepanka Brusakova, Jan Lodin, Martin Sames

Published in: Acta Neurochirurgica | Issue 6/2019

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Abstract

Facial paralysis is a severe disease and presents a formidable treatment challenge. A wide variety of surgical procedures are available with limited evidence. Major risk factors of suboptimal recovery include the duration of paralysis as well as higher age. In this paper, we demonstrate reconstruction of the facial nerve via an intratemporal end-to-end anastomosis and concomitant transfer of an intact masseteric nerve to the side of facial nerve trunk. The supercharge (reverse end-to-side) transfer resulted in preservation of target muscles and faster recovery. Masseteric supercharge bypass may be an acceptable surgical technique to restore muscle function in potentially higher risk cases.
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Metadata
Title
Masseteric nerve supercharge bypass in primary reconstruction of facial nerve
Authors
Petr Vachata
Stepanka Brusakova
Jan Lodin
Martin Sames
Publication date
01-06-2019
Publisher
Springer Vienna
Keyword
Facial Palsy
Published in
Acta Neurochirurgica / Issue 6/2019
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-019-03901-9

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