Extratemporal Surgery of the Facial Nerve—Palliative Surgery

  • H. Millesi
Part of the Advances and Technical Standards in Neurosurgery book series (NEUROSURGERY, volume 7)


In this chapter the surgical treatment of facial nerve lesions along the extratemporal course of the nerve will be discussed. Restoration of continuity by end-to-end coaption or by a nerve graft is the treatment of choice in these cases. This chapter includes also techniques which are performed, if restoration of continuity is impossible or fail to produce an acceptable result. One then has to select between neurotization of the paralyzed facial muscles by nerve transfer, muscle grafting, dynamic correction by muscle transposition and static correction. In certain cases a combination of these possibilities will finally achieve an acceptable result. In addition different procedures are in use in order to prevent damage during the period of denervation, as a temporary measure until recovery occurs, or in cases of poor prognosis due to the basic disease.


Facial Nerve Masseter Muscle Zygomatic Arch Facial Paralysis Nerve Transfer 
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© Springer-Verlag/Wien 1980

Authors and Affiliations

  • H. Millesi
    • 1
  1. 1.Department for Plastic and Reconstructive Surgery, 1st Surgical ClinicUniversity of Vienna Medical School and Ludwig-Boltzmann-Institute for Experimental Plastic SurgeryViennaAustria

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