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Cross-facial nerve grafting

  • Ryan M. Collar
    Correspondence
    Address reprint requests and correspondence: Ryan M. Collar, MD, Johns Hopkins School of Medicine, 601 North Caroline Street, 6th Floor, Baltimore, MD 21287
    Affiliations
    Department of Otolaryngology, Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland
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  • Patrick J. Byrne
    Affiliations
    Department of Otolaryngology, Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland
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  • Kofi D. Boahene
    Affiliations
    Department of Otolaryngology, Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland
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      Cross facial nerve grafting may be utilized in the treatment algorithm of both reversible paralysis, wherein axonal input to existing mimetic mucsles will elicit movement, or in irreversible paralysis, wherein cross facial axons are used to motor a free muscle transfer. This article reviews the indications, operative technique, post-operative care, and potential complications of this technique.

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      References

        • Chan J.Y.
        • Byrne P.J.
        Management of facial paralysis in the 21st century.
        Facial Plast Surg. 2011; 27: 346-357
        • O'Brien B.M.
        • Pederson W.C.
        • Khazanchi R.K.
        • Morrison W.A.
        • MacLeod A.M.
        • Kumar V.
        Results of management of facial palsy with microvascular free-muscle transfer.
        Plast Reconstr Surg. 1990; 86: 12-22
        • Byrne P.J.
        • Kim M.
        • Boahene K.
        • et al.
        Temporalis tendon transfer as part of a comprehensive approach to facial reanimation.
        Arch Facial Plast Surg. 2007; 9: 234-241
        • Boahene K.D.
        • Farrag T.Y.
        • Ishii L.
        • et al.
        Minimally invasive temporalis tendon transposition.
        Arch Facial Plast Surg. 2011; 13: 8-13
        • Pietersen E.
        Bell's palsy: The spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies.
        Acta Otolaryngol Suppl. 2002; 549: 4-30
        • Rivas A.
        • Boahene K.D.
        • Bravo H.C.
        • et al.
        A model for early prediction of facial nerve recovery after vestibular schwannoma surgery.
        Otol Neurotol. 2011; 32: 826-833
        • Terzis J.K.
        • Tzafetta K.
        The babysitter procedure: minihypoglossal to facial nerve transfer and cross facial nerve grafting.
        Plast Reconstr Surg. 2009; 123: 865-876
        • Hadlock T.A.
        • Cheney M.L.
        Single-incision endoscopic sural nerve harvest for cross facial nerve grafting.
        J Reconstr Microsurg. 2008; 24: 519-523
        • Terzis J.K.
        • Konofaos P.
        Nerve transfers in facial palsy.
        Facial Plast Surg. 2008; 24: 177-193
        • Terzis J.K.
        • Daigle J.P.
        New data on facial nerve anatomy and electrophysiology for safe facial aesthetic surgery.
        in: Hinderer U.T. Plastic Surgery. vol 1. Elsevier Science, Amsterdam, The Netherlands1992: 455
        • Terzis J.K.
        • Wang W.
        • Zhao Y.
        • et al.
        Effect of axonal load on the functional and aesthetic outcomes of the cross-facial nerve graft procedure for facial reanimation.
        Plast Reconstr Surg. 2009; 124: 1499-1512
        • Buskirk C.V.
        The seventh nerve complex.
        J Comp Neurol. 1945; 82: 303-326
        • Dvali L.T.
        • Myckatyn T.M.
        End-to-side nerve repair: Review of the literature and clinical indications.
        Hand Clin. 2008; 24: 455-460