Management of Facial Paralysis with Jump Interposition Graft Hypoglossal-Facial Anastomosis with Gold Lid Weight
Until 1990, we managed irreversible facial nerve paralysis with “classical” hypoglossal-facial anastomosis, lateral canthoplasty, and electromyographic (EMG) biofeedback rehabilitation [1–4], The classical or standard hypoglossal-facial anastomosis utilized a completely transected ipsilateral hypoglossal nerve for facial reinnervation. Substantial facial rehabilitation in 48 patients was achieved, especially in terms of strong facial muscle tone and symmetry at rest exclusive of the forehead region.
KeywordsFatigue Nylon Astrocytoma Medulloblastoma Neuroma
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