Surgical Management of Postparalysis Facial Palsy and Synkinesis

Otolaryngologic Clinics of North America
Babak Azizzadeh, Julia L Frisenda

Abstract

Modified selective neurectomy of the distal branches of the buccal, zygomatic, and cervical branches of the facial nerve in addition to platysmal myotomy is an effective surgical procedure for the treatment of postfacial paralysis synkinesis. Success of this procedure depends on identification of the peripheral facial nerve branches, preservation of zygomatic and marginal mandibular branches that innervate key smile muscles, and ablation of buccal and cervical branches that cause lateral and/or inferior excursion of the oral commissure. Results are long-lasting; objective improvements in electronic clinician-graded facial function scale score, House-Brackmann score, and decreased botulinum toxin-A requirements have been observed.

Citations

Mar 5, 2020·ANZ Journal of Surgery·Raymond HaylerTsu-Hui Hubert Low
Mar 5, 2020·Facial Plastic Surgery & Aesthetic Medicine·Matthew Q Miller, Tessa A Hadlock
Feb 14, 2020·Facial Plastic Surgery & Aesthetic Medicine·Nikolaus Hjelm, Babak Azizzadeh
Oct 29, 2020·Journal of Neuro-oncology·Laura H ChristopherBabak Azizzadeh
Oct 31, 2020·Facial Plastic Surgery & Aesthetic Medicine·Matthew Q Miller, Tessa A Hadlock
Jan 1, 2021·Seminars in Plastic Surgery·Tom ShokriYadranko Ducic
Feb 20, 2021·Facial Plastic Surgery & Aesthetic Medicine·Julie P ShtraksBabak Azizzadeh
Mar 2, 2021·Facial Plastic Surgery : FPS·Tyler J McElweeLaura T Hetzler
May 7, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Maya ZaidmanRonald M Zuker
Jul 5, 2021·Facial Plastic Surgery Clinics of North America·Babak Azizzadeh, Nikolaus Hjelm
Jun 10, 2021·European Journal of Physical and Rehabilitation Medicine·Marco TramontanoMarilia Simonelli
Nov 28, 2021·Ear, Nose, & Throat Journal·Tom ShokriJessyka G Lighthall
Jan 26, 2022·Plastic and Reconstructive Surgery·Adeeb DerakhshanTessa A Hadlock

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