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Fascial pulley: Cross‐commissure lip reanimation for inferior division facial nerve paralysis
Author(s) -
Spector Gershon J.,
Matsuba Howard M.,
Killeen Thomas E.,
Griner Nancy R.
Publication year - 1986
Publication title -
the laryngoscope
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198601000-00019
Subject(s) - commissure , pulley , anatomy , paralysis , medicine , facial nerve , facial paralysis , surgery , engineering , structural engineering
The risks of causing further harm to the facial nerve are greater in surgery for partial facial paralysis. We present a new active and passive reconstruction technique for paralysis of the buccal-mandibular divisions of the facial nerve. Our fascial pulley technique of reanimation and suspension of the oral commissure produces no further injury to the facial nerve and the eyelids. In addition, it adds a better technique to the armamentarium of the reconstructive surgeon dealing with partial lower facial nerve paralyses.