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The Treatment of Facial Palsy With Free Revascularised and Reinnervated Muscle Grafts

  • D. E. Tolhurst

Abstract

The large number of operations described for the correction of facial palsy has not made the treatment of this deformity any easier. Besides the use of a static fascia sling, both muscle transpositions and free grafts have been employed, to say nothing of the rerouting of nerves, the use of cross facial nerve grafts and even combinations of some of these ideas. No doubt a good case can be made for each of these techniques but in the long run it should be possible to adhere to precise indications for each procedure based on logical and accumulated experience.

Keywords

Motor Nerve Facial Palsy Nerve Graft Facial Paralysis Deep Peroneal Nerve 
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-facial nerve transplantation in facial paralysis. Chir. Plast. 2, 17–46 (1973).CrossRefGoogle Scholar
  2. 2.
    Hakelius, L.: Transplantation of free autogenous muscle in the treatment of facial paralysis. A clinical study. Scand. J. Plast. Reconstr. Surg. 8, 220–230 (1974).PubMedCrossRefGoogle Scholar
  3. 3.
    Harii, K.: Free gracilis muscle transplantation, with microneurovascular anastomoses for the treatment of facial paralysis. Plast. Reconstr. Surg. 57, 133–143 (1976).PubMedCrossRefGoogle Scholar
  4. 4.
    Holmes, W., Young, J. Z.: Nerve regeneration after immediate and delayed suture. J. Anat. 77, 63–68 (1942).PubMedGoogle Scholar
  5. 5.
    Miller, T. A., Korn, H. N., Wheeler, E. S.: Can one muscle reinnervate another? A preliminary study of muscular neurotonisation in the rabbit. Plast. Reconstr. Surg. 61, 50–57 (1978).PubMedCrossRefGoogle Scholar
  6. 6.
    O’Brien, B., Franklin, J., Morrison, W.: Cross-facial nerve grafts and microneurovascular free muscle transfer for long established facial palsy. Brit. J. Plast. Surg. 33, 202–215 (1980).PubMedCrossRefGoogle Scholar
  7. 7.
    Smith, J. W.: A new technique of facial animation. Transactions of the 5th International Congress of Plastic and Reconstructive Surgery, pp. 83–84, 1971.Google Scholar
  8. 8.
    Thompson, N.: A review of autogenous skeletal muscle grafts and their clinical applications. Clin. Plast. Surg. 1, 349–357 (1974).PubMedGoogle Scholar
  9. 9.
    Thompson, N., Gustavson, E. H.: The use of neuromuscular free autografts with microneural anastomosis to restore elevation to the paralysed angle of mouth in cases of unilateral paralysis, with an analysis of late results of muscle grafts in the treatment of 103 cases of facial hemiparesis. Chir. Plast. 3, 165–174 (1976).CrossRefGoogle Scholar
  10. 10.
    Watson, A. C. H., Muir, A. R.: Failure of free muscle grafts in dogs. Brit. J. Plast. Surg. 29, 27–33 (1976).PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1981

Authors and Affiliations

  • D. E. Tolhurst
    • 1
  1. 1.Department of Plastic SurgeryUniversity HospitalRotterdamThe Netherlands

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