1.

Record Nr.

UNINA9910483147503321

Titolo

Facial palsy : techniques for reanimation of the paralyzed face / / Chieh-Han John Tzou, Andrés Rodríguez-Lorenzo, editors

Pubbl/distr/stampa

Cham, Switzerland : , : Springer, , [2021]

©2021

ISBN

3-030-50784-X

Descrizione fisica

1 online resource (418 pages)

Disciplina

616.842

Soggetti

Facial paralysis

Paràlisi facial

Rehabilitació mèdica

Llibres electrònics

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di contenuto

Intro -- Preface -- Contents -- About the Editors -- Part I: Facial Paralysis -- 1: Facial Paralysis: Etiology, Diagnosis, and Medical Treatment -- 1.1  The Facial Nerve -- 1.2  Facial Nerve Pathways -- 1.3  Terminology and Grading of Facial Palsy -- 1.4  Evaluation of Peripheral Facial Palsy -- 1.5  Causes of Peripheral Facial Palsy -- 1.6  Differential Diagnosis of Peripheral Facial Palsy -- 1.7  Bell's Palsy -- 1.8  Acquired Peripheral Facial Palsy in Children -- 1.9  Herpes Zoster Oticus or Ramsay Hunt syndrome -- 1.10  Lyme Disease (Neuroborreliosis) -- 1.11  Sarcoidosis -- 1.12  Guillain-Barré Syndrome -- 1.13  Melkersson-Rosenthal Syndrome -- 1.14  Ear Infection -- 1.15  Intratemporal Facial Nerve Trauma -- 1.16  Extratemporal Facial Nerve Trauma -- 1.17  Iatrogenic Facial Nerve Trauma -- 1.18  Tumor -- 1.19  Peripheral Facial Palsy in Newborn, Congenital Facial Palsy -- References -- 2: A Multi-modal Approach to Outcome Tracking in Facial Palsy -- 2.1  Introduction -- 2.2  Patient-Reported Outcome Measures -- 2.3  Clinician Grading Scoring Systems -- 2.4  Objective Assessment Systems -- 2.5  Emerging Systems -- 2.6  Conclusion -- References -- 3: Documentation and Imaging in Facial Palsy -- 3.1  Documentation in Facial Palsy -- 3.1.1  Overview -- 3.1.2  Patient



Assessment -- 3.2  Imaging in Facial Palsy Overview -- 3.2.1  Composition and Positioning -- 3.2.2  Post-paralytic Facial Synkinesis (PPFS) -- 3.3  Conclusion -- References -- 4: Pre- and Post-op Rehabilitation in Facial Palsy Patients -- 4.1  Facial Nerve Grading Instruments -- 4.2  House-Brackmann Score -- 4.3  Sunnybrook Score -- 4.4  Chuang's Smile Excursion Score -- 4.5  Exercise Therapy -- 4.6  Electromyography-Biofeedback (EMG-Biofeedback) -- 4.7  Electrical Stimulation -- 4.8  Massage -- 4.9  Manual Lymphatic Drainage -- 4.10  Botulinum Toxin.

4.11  Postoperative Facial Rehabilitation -- 4.11.1  Rehabilitation After Temporalis and Masseter Muscle Transposition -- 4.11.2  Rehabilitation After Labbé Technique -- 4.11.3  Rehabilitation After Nerve Transfers and Cross-Facial Nerve Grafting -- 4.11.4  Rehabilitation After Free Gracilis Muscle Transfer for Reconstruction of the Smile in Irreversible Facial Palsy -- References -- 5: Electrophysiology in Facial Paralysis -- 5.1  Nerve Conduction Studies (NCS) -- 5.1.1  Recording -- 5.1.2  Parameter -- 5.2  Electromyography (EMG) -- 5.3  Blink Reflex Studies -- 5.4  Magnetic Stimulation -- 5.5  Outcome Indicators -- References -- Part II: Facial Nerve Reconstruction -- 6: Principles of Facial Nerve Reconstruction -- 6.1  Introduction -- 6.2  Types of Facial Nerve Injuries -- 6.3  Methods of Facial Nerve Reconstruction -- 6.4  The Distal Target in Facial Nerve Reconstruction: Innervation of Mimetic Muscles -- 6.5  Timing of Facial Nerve Reconstruction -- 6.5.1  Timing or Nerve Reconstruction in Open Facial Nerve Injuries with Facial Nerve Deficits or Oncological Resections Including the Facial Nerve -- 6.5.2  Timing for Nerve Reconstruction in Acquired Facial Paralysis with Unknown Facial Nerve Status -- 6.6  Classification of Levels of Facial Nerve Injuries in Relation to Facial Reconstruction Method -- 6.6.1  Level 1: Central Nerve System or Intratemporal Nerve Injuries with Not Available Facial Nerve Stump -- 6.6.2  Clinical Example -- 6.6.3  Level 2: Intratemporal and Extratemporal Intraparotid Nerve Injuries with Available Facial Nerve Stump -- 6.6.4  Clinical Example -- 6.6.5  Level 3: Extratemporal Extraparotid or Distal Nerve Injuries -- 6.6.6  Clinical Example -- References -- 7: Anatomy of the Facial Nerve -- 7.1  Cranial Nerve (CN)7 -- 7.1.1  Targets of CN7 -- 7.2  Facial Nerve: Motoric Portion of CN7 -- 7.2.1  Intracerebral Segment.

7.2.2  Intracranial Segment -- 7.2.3  Extracranial Segment -- 7.2.4  Parotid Plexus -- 7.2.5  Innervation of Facial Muscles -- References -- 8: Nerve Transfers to the Facial Nerve -- 8.1  Background -- 8.2  Patient Presentation -- 8.3  Nerve Transfers: Goals, Indications, and Rationale -- 8.3.1  Goals -- 8.3.2  Indications -- 8.3.3  Rationale -- 8.3.4  Advantages of Nerve Transfers -- 8.3.5  Disadvantages of Nerve Transfers -- 8.4  Masseteric to Facial Nerve Transfer -- 8.5  Cross-Facial Nerve Grafting -- 8.6  Dual Innervation -- 8.7  Summary -- References -- 9: Vascularized Nerve Grafts in Facial Nerve Reconstruction -- 9.1  Introduction -- 9.2  A Historical Overview -- 9.3  The Blood Supply of Nerves -- 9.4  Evidence for Vascularized Nerve Grafts -- 9.4.1  Blood Supply -- 9.4.2  Motor Versus Sensory Nerve Grafts -- 9.5  Clinical Applications -- 9.5.1  The Dilemma -- 9.5.2  Facial Nerve Defects in the Head and Neck Cancer Patient -- 9.6  Pedicled Nerve Graft Options -- 9.7  Vascularized Nerve Grafts and the ALT Free Flap -- 9.8  Clinical Example of a Chimeric Free Flap Reconstruction of Soft Tissue and Facial Nerve -- 9.9  Clinical Example of Vascularized Nerve Graft to the Marginal Mandibular Nerve -- 9.10  Conclusion -- References -- 10: Non-vascularized Nerve Grafts -- 10.1  Introduction -- 10.2  Donor Nerves -- 10.2.1  Sural Nerve -- 10.2.1.1  Surgical Technique for Sural Nerve Harvest -- 10.2.2  Greater



Auricular Nerve -- 10.2.3  Motor Nerves -- 10.3  Ipsilateral Nerve Repair -- 10.4  Cross-Face Nerve Grafts -- 10.4.1  Timing of Surgery -- 10.4.2  Donor Branch Selection -- 10.4.3  Augmentation of Partial Function -- 10.4.4  Sensory Pathway Protection -- 10.5  Coaptation Techniques -- References -- 11: Avoiding Damage of the Facial Nerve in Parotid Surgery -- 11.1  Introduction -- 11.2  Type of Parotidectomy -- 11.2.1  Extracapsular Dissection.

11.2.2  Superficial Parotidectomy -- 11.2.3  Total Parotidectomy -- 11.3  Pre- and Perioperative Considerations -- 11.3.1  Facial Nerve Monitoring -- 11.3.2  Surgical Microscope or Surgical Loupes for Parotidectomy? -- 11.3.3  Single Shot Antibiotic Treatment -- 11.4  Superficial Parotidectomy -- 11.4.1  Positioning and Skin Incision -- 11.4.2  SMAS Flap -- 11.4.3  Landmark I: Posterior Belly of the Digastric Muscle -- 11.4.4  Landmark II: Tragal Pointer -- 11.4.5  Dissection -- 11.4.6  Wound Closure, Dressing, and Postoperative Antibiotic Treatment -- 11.5  Neck Dissection and Facial Nerve -- 11.5.1  Level I: Boundaries -- 11.5.2  Risk for Damage of the Marginal Mandibular Branch -- 11.6  Level Ib Neck Dissection -- 11.6.1  Skin Incision -- 11.6.2  Elevation of Platysma Flaps -- 11.6.3  Identification of the Marginal Mandibular Branch -- References -- 12: Avoiding Facial Nerve Injury in Oral and Maxillofacial Surgery -- 12.1  Introduction -- 12.2  Retromandibular Approach to the TMJ -- 12.2.1  Surgical Anatomy -- 12.2.2  Retromandibular Anteroparotid Transmasseteric Approach -- 12.2.3  Retromandibular Transparotid Approach -- 12.3  Preauricular Approach to the TMJ -- 12.3.1  Surgical Anatomy -- 12.3.2  Subfascial Approach -- 12.3.3  Deep Subfascial Approach -- 12.4  Approaches to the TMJ and Risk for Facial Nerve Injury -- References -- Part III: Smile Reanimation in Long Standing Facial Paralysis -- 13: Principles of Smile Reanimation -- 13.1  Introduction -- 13.1.1  History of the Smile -- 13.1.2  Evolution of the Human Smile -- 13.1.3  Social and Cultural Aspects of the Smile -- 13.1.4  Types of Smile and Anatomical Variations -- 13.1.5  The Dimple and the Smile -- 13.2  Preoperative Evaluation of the Smile -- 13.2.1  Mouth Corner Vector for Smile Reanimation -- 13.2.2  Donor Nerves and Muscles in Smile Reanimation.

13.3  Intraoperative Evaluation of the Smile -- 13.4  Postoperative Care of the Smile -- 13.4.1  Immediate Postoperative Care -- 13.4.2  Long-Term Postoperative Care -- References -- 14: One-Stage Facial Reanimation Using Masseter Nerve Free Flap -- 14.1  Anatomy -- 14.2  Diagnostics -- 14.3  Indications -- 14.4  Technique -- 14.5  Summary -- References -- 15: Spinal Accessory Nerve-Innervated Gracilis (XI-Gracilis) for Facial Reanimation: Chang Gung Experience -- 15.1  Introduction -- 15.2  Materials and Methods -- 15.3  Anatomy Review -- 15.3.1  Spinal Accessory Nerve (XI) -- 15.4  Technique of XI-Gracilis for Facial Reanimation, One-Stage Procedure -- 15.4.1  Preoperative Evaluation -- 15.4.2  Operative Method -- 15.5  Postoperative Cares and Rehabilitation -- 15.6  Outcome Assessment -- 15.7  Statistical Analysis -- 15.8  Results -- 15.8.1  Denervation Time -- 15.8.2  Ischemic Time for Gracilis Transfer -- 15.8.3  Complications -- 15.8.4  Smile Excursion Score -- 15.8.5  Cortical Adaptation Stage -- 15.8.6  Patient Questionnaire -- 15.8.7  Hadlock's SMILE Lip Excursion Scale -- 15.8.8  Terzis's Functional and Aesthetic Grading System -- 15.9  Discussion -- 15.9.1  Why Is the XI-Gracilis Not Popular? -- 15.9.2  Sequelae by XI Transect -- 15.9.3  Why Patients of Postparalysis Facial Synkinesis Are Included? -- 15.9.4  Cortical Adaptation -- 15.9.5  Result Evaluation -- 15.9.6  Indication and Contraindication -- 15.10  Summary -- References -- 16: One-Stage Latissimus Dorsi Muscle Transfer for Facial Reanimation: Comparison Between Single and Dual



Innervation -- 16.1  History of One-Stage Latissimus Dorsi Muscle Transfer -- 16.2  Dual-Innervation Technique -- 16.2.1  Emergence of the Dual-Innervation Technique -- 16.2.2  Surgical Technique -- 16.2.2.1  Preoperative Planning -- 16.2.2.2  Preparation of the Cheek Pocket.

16.2.2.3  Harvesting the Latissimus Dorsi Muscle Segment.