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Facial Reanimation by Cranial Nerve Substitution Without Tongue or Shoulder Paralysis

Facial Reanimation by Cranial Nerve Substitution Without Tongue or Shoulder Paralysis This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Facial reanimation using the sternocleidomastoid branch of the spinal accessory nerve (XI) was the subject of a paper presented by William R. Panje, MD, and Thomas J. Dobleman, MD, University of Chicago (Ill) Pritzker School of Medicine, at the Fifth International Symposium on Plastic and Reconstructive Surgery of the Head and Neck in Toronto, Canada, on June 21, 1989. This selective nerve XI-VII anastomosis avoids the problem of speech and swallowing dysfunction, or shoulder weakness that can occur with a hypoglossal or spinal accessory nerve transposition. In a previous cadaver study the authors had identified three types of innervation patterns to the sternocleidomastoid muscle. Each of these branching patterns afforded enough length after mobilization to be approximated to the pes anserinus. In this paper, the authors reported their experience in five patients, some of whom had long-standing paralysis greater than 2 years. A microneural suture technique was used, as well http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Facial Reanimation by Cranial Nerve Substitution Without Tongue or Shoulder Paralysis

Facial Reanimation by Cranial Nerve Substitution Without Tongue or Shoulder Paralysis

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Facial reanimation using the sternocleidomastoid branch of the spinal accessory nerve (XI) was the subject of a paper presented by William R. Panje, MD, and Thomas J. Dobleman, MD, University of Chicago (Ill) Pritzker School of Medicine, at the Fifth International Symposium on Plastic and Reconstructive Surgery of the Head and Neck in Toronto, Canada,...
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Publisher
American Medical Association
Copyright
Copyright © 1990 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1990.01870010017006
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Facial reanimation using the sternocleidomastoid branch of the spinal accessory nerve (XI) was the subject of a paper presented by William R. Panje, MD, and Thomas J. Dobleman, MD, University of Chicago (Ill) Pritzker School of Medicine, at the Fifth International Symposium on Plastic and Reconstructive Surgery of the Head and Neck in Toronto, Canada, on June 21, 1989. This selective nerve XI-VII anastomosis avoids the problem of speech and swallowing dysfunction, or shoulder weakness that can occur with a hypoglossal or spinal accessory nerve transposition. In a previous cadaver study the authors had identified three types of innervation patterns to the sternocleidomastoid muscle. Each of these branching patterns afforded enough length after mobilization to be approximated to the pes anserinus. In this paper, the authors reported their experience in five patients, some of whom had long-standing paralysis greater than 2 years. A microneural suture technique was used, as well

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Jan 1, 1990

There are no references for this article.