Reinnervation of facial muscles using ipsilateral masticatory branch of trigeminal nerve and cross-facial autotransplantation with contralateral buccal branch of facial nerve using sural nerve (step-by-step modeling of technique on cadaveric material)

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Z.T-A. Saidova

Institute of Plastic Surgery and Cosmetology

A.V. Shtok

Burdenko Neurosurgical Center

Z.V. Kurbanova

Dagestan State Medical University

ORCID: 0000-0002-2591-9895

S.E. Tsyganov

Moscow City Clinical Hospital No. 4

G.F. Dobrovolskiy

Burdenko Neurosurgery Center

Reinnervation of facial muscles using ipsilateral masticatory branch of trigeminal nerve and cross-facial autotransplantation with contralateral buccal branch of facial nerve using sural nerve (step-by-step modeling of technique on cadaveric material)

Authors:

Z.T-A. Saidova, A.V. Shtok, Z.V. Kurbanova, S.E. Tsyganov, G.F. Dobrovolskiy

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Journal: Plastic Surgery and Aesthetic Medicine. 2022;(2): 48‑56

DOI: 10.17116/plast.hirurgia202103148

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To cite this article:

Saidova ZT-A, Shtok AV, Kurbanova ZV, Tsyganov SE, Dobrovolskiy GF. Reinnervation of facial muscles using ipsilateral masticatory branch of trigeminal nerve and cross-facial autotransplantation with contralateral buccal branch of facial nerve using sural nerve (step-by-step modeling of technique on cadaveric material). Plastic Surgery and Aesthetic Medicine. 2022;(2):48‑56. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202103148

Кардиологические дебаты — VI. Версия 2.0

Здоровье щитовидной железы – 2024

Перекрестки терапевтических проблем

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

NN - давайте знакомится (08.04.2024)

Использование инфографики авторами научных работ

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OBJECTIVE

Introduction of facial nerve reconstructive surgery into neurosurgical practice to improve functional and aesthetic results of treatment of patients with facial muscle paralysis in early period.

MATERIAL AND METHODS

The study was conducted using 20 fresh unfixed corpses (9 men and 11 women) aged 20—71 years without cranio-maxillofacial pathology. The corpse was laid on its back. All approaches in cranio-maxillofacial region were performed in aesthetically unobtrusive areas similar to clinical practice.

RESULTS

The most optimal surgical approach for mimic muscle dysfunction following facial nerve damage was developed. This technique implies minor damage to the donor area during harvesting of autografts for reconstructive surgery of the facial nerve.

CONCLUSION

This technique will ensure facial movements on the affected side during jaw clenching since facial nerve function is restored via masticatory branch of trigeminal nerve. The advantage of cross-facial autotransplantation using sural nerve autograft is delivery of motor impulses to denervated muscles (levator labii superioris, levator anguli oris, etc.) innervated by buccal branch of facial nerve through the contralateral intact facial nerve. The result is synchronous facial movements.

Keywords:

cranial nerves

facial muscle paralysis

reinnervation of facial muscles

cadaveric material

Authors:

Z.T-A. Saidova

Institute of Plastic Surgery and Cosmetology

A.V. Shtok

Burdenko Neurosurgical Center

Z.V. Kurbanova

Dagestan State Medical University

ORCID: 0000-0002-2591-9895

S.E. Tsyganov

Moscow City Clinical Hospital No. 4

G.F. Dobrovolskiy

Burdenko Neurosurgery Center

Received:

08.01.2022

Accepted:

10.02.2022

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