Masseteric-to-Facial Nerve Transfer and Selective Neurectomy for Rehabilitation of the Synkinetic Smile | Zendy

Aurora G. Vincent | Zendy; Scott E. Bevans | Zendy; Jon Robitschek | Zendy; Gary Wind | Zendy; Marc H. Hohman | Zendy

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Masseteric-to-Facial Nerve Transfer and Selective Neurectomy for Rehabilitation of the Synkinetic Smile

Author(s) -

Aurora G. Vincent,

Scott E. Bevans,

Jon Robitschek,

Gary Wind,

Marc H. Hohman

Publication year - 2019

Publication title -

jama facial plastic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.815

H-Index - 59

eISSN - 2168-6092

pISSN - 2168-6076

DOI - 10.1001/jamafacial.2019.0689

Subject(s) - synkinesis , medicine , palsy , facial paralysis , neurectomy , surgery , botulinum toxin , rehabilitation , facial muscles , hyperacusis , facial nerve , physical medicine and rehabilitation , anesthesia , physical therapy , audiology , hearing loss , alternative medicine , pathology , anatomy

Synkinesis is the involuntary movement of 1 area of the face accompanying volitional movement of another; it is commonly encountered in patients affected by facial palsy. Current treatments for synkinesis include biofeedback for muscular retraining and chemodenervation via the injection of botulinum toxin. Chemodenervation is effective in reducing unwanted muscle movement, but it requires a commitment to long-term maintenance injections and may lose effectiveness over time. A permanent solution for synkinesis remains elusive.

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