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KMID : 0355619930190020136
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Journal of Korean Association of Oral and Maxillofacial Surgeons
1993 Volume.19 No. 2 p.136 ~ p.144
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Hypoglossal-facial nerve anastomosis for reinnervation of the paralysed face
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Abstract
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The surgical treatment of facial palsy is a difficult task for oral and maxillofacial surgeon. Every effort must be made to determine the etiology since treatable cause can be found. The most effective way to rehabilitate the paralyzed face is by
direct
nerve suture or autogenous nerve graft. Today, transplantation of the muscle by microvascular anastomoses is used, if there is long standing palsy. When the central nerve stump is not available and mimetic muscles are still functioning, the
hypoglossal-facial nerve crossover is a valuable surgical procedure.
This case report of hypoglossal-facial nerve anastomosis is intended to establish a framework of the advantage and disadvantage, and the indications of this technique.
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KEYWORD
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