Network-like Reconstruction Based on Neural Supercharge Concept for the Treatment of Reversible Facial Palsy

Video Presentation of Surgical Technique

Abstract

The purpose of this article is to the present the surgical technique of “network-like reconstruction” based on the neural signal augmentation / neural supercharge concept for the treatment of reversible facial palsy patients. With construction of the facial-hypoglossal network system using the end-to-side neurorrhaphy technique, both facial and hypoglossal motor signals are provided to the compromised facial mimetic muscles. The remaining potential of incompletely or completely paralysed muscles without atrophy is activated by a neural ‘supercharge’ effect. This reconstructive concept offers a significant advantage for the treatment of facial palsy patients with persistent incomplete type and reversible complete type without distinct mimetic muscle atrophy. In this article, the procedure of network-like reconstruction is shown by the presentation of a movie file.