Cross-face nerve transfer for established trigeminal branch II palsy

Annals of Plastic Surgery
Isao KoshimaMasahiro Nakagawa

Abstract

Reconstruction for trigeminal nerve II palsy is challenging. Cross-face nerve transfer from the contralateral trigeminal nerve facilitates this reconstruction. However, the microanatomy and techniques required for nerve sutures cause problems for many surgeons. Following the recent development of supramicrosurgical techniques appropriate for the microanatomy of peripheral nerves, a new method of intraoral "cross-face nerve transfer" was successfully used for repairing trigeminal nerve II palsy. Two cases of trigeminal nerve II palsy were repaired with contralateral trigeminal nerve transfer without any nerve graft. Affected upper labial sensory recovery was 1.65 to 2.44 (Semmes-Weinstein values) and 15 to 30 mm (moving 2-point discriminations) at 1 to 1 1/2 years after surgery. The advantages of this method are excellent nerve regeneration and the lack of donor site morbidity. It is a brief and simple operation in comparison to free nerve grafts. The disadvantage is a need for a supramicrosurgical technique, using a needle less than 80 microm wide.

References

Apr 1, 1996·Journal of Reconstructive Microsurgery·I KoshimaY Nakayama
Nov 25, 2003·Journal of Reconstructive Microsurgery·Isao KoshimaYoshio Takahashi

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Citations

May 13, 2014·The British Journal of Oral & Maxillofacial Surgery·Paolo GennaroGiorgio Iannetti
Jun 13, 2012·Journal of Plastic Surgery and Hand Surgery·Paolo GennaroValeria Mitro
Dec 18, 2018·Annals of Plastic Surgery·Xiangia LiuPetros Konofaos
Aug 10, 2013·Ophthalmic Plastic and Reconstructive Surgery·Petros KonofaosJames C Fleming
Jan 11, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Thomson DrKannan Ry

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