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Restoration of Emotional Expression to the Unilaterally Paralysed Face

  • N. Thompson
  • C. B. Wynn Parry

Abstract

Chnical and electromyographic evidence is submitted to support the thesis that facial reanimation in long-standing cases of unilateral facial paralysis is most effectively achieved by the use of autogenous skeletal muscle grafts, used either as free grafts or with microneural anastomosis only.

Keywords

Facial Nerve Motor Axon Nerve Graft Recipient Site Free Graft 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Anderl, H.: Reconstruction of the face through cross-face nerve transplantation in facial paralysis. Chir. Plast. (Berl.) 2, 17 (1973).CrossRefGoogle Scholar
  2. 2.
    Ducker, T. B., Kempe, L. G., Hayes, G. J.: The metabolic background for peripheral nerve surgery. J. Neurosurg. 30, 270 (1969).PubMedCrossRefGoogle Scholar
  3. 3.
    Gruber, H., Zenker, W., Hohberg, E.: Untersuchungen über die Spezifität der Cholinesterasen in peripheren Nervensystem der Ratte. Histochemie 27, 78 (1971).PubMedCrossRefGoogle Scholar
  4. 4.
    Gutmann, E.: Factors affecting recovery of motor function after nerve lesions. J. Neurol. Psychiat. 5, 81 (1942).CrossRefGoogle Scholar
  5. 5.
    Hakelius, L.: Transplantation of free autogenous muscle in the treatment of facial paralysis. A clinical study. Scand. J. Plast. Reconstr. Surg. 8, 220 (1974).PubMedCrossRefGoogle Scholar
  6. 6.
    Hakelius, L.: Free muscle grafting. Clin. Plast. Surg. 6, 301 (1979).PubMedGoogle Scholar
  7. 7.
    Harii, K., Ohmori, K., Torii, S.: Free gracilis muscle transplantation with microneurovascular anastomoses for the treatment of facial paralysis. Plast. Reconstr. Surg. 57, 133 (1976).PubMedCrossRefGoogle Scholar
  8. 8.
    Harii, K.: Microneurovascular free muscle transplantation for reanimation of facial paralysis. Clin. Plast. Surg. 6, 361 (1979).PubMedGoogle Scholar
  9. 9.
    Hogan, E. L., Dawson, D. M, Romanul, F. C. A.: Enzymatic changes in denervated muscle. II. Biochemical studies. Arch. Neurol. 13, 274 (1965).PubMedCrossRefGoogle Scholar
  10. 10.
    Karnovsky, M. J., Roots, L.: A “direct-coloring” thiochoUne method for cholinesterases. J. Histochem. Cytochem. 12, 219 (1964).PubMedCrossRefGoogle Scholar
  11. 11.
    Lieberman, A. R.: The axon reaction. A review of the principal features of perikaryal responses to axon injury. Int. Rev. Neurobiol. 49, 124 (1971).Google Scholar
  12. 12.
    McQuarrie, I. G., Grafstein, B.: Axon outgrowth enhanced by a previous nerve injury. Arch. Neurol. (Chic.) 29, 53 (1973).CrossRefGoogle Scholar
  13. 13.
    Mayou, B. J., Watson, J. S., Harrison, D. H.: Brit. J. Plast. Surg. Under publication. 1981.Google Scholar
  14. 14.
    Miller, T. A.: Are free muscle grafts a reliable reconstructive method? Editorial. Plast. Reconstr. Surg. 62, 597 (1978).PubMedCrossRefGoogle Scholar
  15. 15.
    O’Brien, B. M., Franklin, J. D., Morrison, W. A.: Cross-facial nerve grafts and microneurovascular free muscle transfer for long established facial palsy. Brit. J. Plast. Surg. 33, 202 (1980).PubMedCrossRefGoogle Scholar
  16. 16.
    Romanul, F. C. A., Hogan, E. L.: Enzymatic changes in denervated muscle. I. Histochemical studies. Arch. Neurol. 13, 263 (1965).PubMedCrossRefGoogle Scholar
  17. 17.
    Scaramella, L. F., Preliminary report on facial nerve anastomosis. Read before the Second International Symposium on Facial Nerve Surgery, Osaka, Japan. 1970.Google Scholar
  18. 18.
    Smith, J. W.: A new technique of facial animation. Trans. 5th Internat. Congr. Plast. Reconstr. Surg. London: Butterworths. 1971.Google Scholar
  19. 19.
    Terzis, J. K., Sweet, R. C., Dykes, R. W., Williams, H. B.: Recovery of function in free muscle transplants using microneurovascular anastomoses. J. Hand. Surg. 3, 37 (1978).Google Scholar
  20. 20.
    Thompson, N.: Investigation of autogenous skeletal muscle free grafts in the dog. With a report on a successful free graft of skeletal muscle in man. Transplantation 72, 353 (1971).CrossRefGoogle Scholar
  21. 21.
    Thompson, N.: Autogenous free grafts of skeletal muscle. A preliminary experimental and clinical study. Plast. Reconstr. Surg. 48, 11 (1971).PubMedCrossRefGoogle Scholar
  22. 22.
    Thompson, N.: A review of autogenous skeletal muscle grafts and their clinical applications. Clin. Plast. Surg. 1, 349 (1974).PubMedGoogle Scholar
  23. 23.
    Thompson, N.: Free muscle graft pharyngoplasty with palatal retroposition in the treatment of velopharyngeal incompetence. With a note on the present status of free muscle autografts. Chir. Plast. (Berl.) 5, 1 (1979).CrossRefGoogle Scholar
  24. 24.
    Thompson, N., Gustavson, E. H.: The use of neuromuscular free autografts with microneural anastomosis to restore elevation to the paralysed angle of the mouth in cases of unilateral facial paralysis. With an analysis of late results of muscle grafts in the treatment of 103 cases of facial paralysis. Chir. Plast. (Berl.) 3, 165 (1976).CrossRefGoogle Scholar
  25. 25.
    Watson, A. C. H., Muir, A. R.: Failure of free muscle grafts in dogs. Brit. J. Plast. Surg. 29, 27 (1976).PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1981

Authors and Affiliations

  • N. Thompson
    • 1
    • 2
    • 3
  • C. B. Wynn Parry
    • 1
    • 2
  1. 1.Regional Plastic Surgery CentreMount Vernon HospitalNorthwood, MiddlesexUK
  2. 2.Royal National Orthopaedic HospitalLondonEngland
  3. 3.LondonEngland

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