Cross facial nerve graft
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If you have permanent paralysis of the muscles that allow you to smile, you may be offered a procedure to recreate the smile. After this, we would recommend that you take a further two weeks off work to recover. Smoking will increase the risk of the nerve fibres not regrowing and the wound not healing. The main advantages of static procedures are the shorter length of surgery and hospital stay, the ability to perform the surgery in one operation and the reduced risk of failure. They will then be able to give you further advice on what to do and whether they need to see you back at the hospital or not. This may require two operations to be performed and the cross facial nerve graft procedure is the first of these operations. Cutting a small branch will usually have no issue, but the theoretical possibility of damage to the nerve exists. significant damage may cause a facial palsy on the unaffected side.
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Modern Concepts In Facial Nerve Reconstruction
The goal at this point is to try and restore a source of innervation to the muscles of facial expression before the atrophy process has become irreversible. It begins in the temple hidden in the hair and runs downwards, immediately in front of the ear, then curves behind the ear and then down onto the neck. It may also be used in patients who have had an injury to the facial nerve to bridge the gap of the missing or scarred nerve that is recent enough to allow for muscle activity on the paralysed side to be maintained. After the operation, the patient will be closely monitored and there will usually be a small drain behind the ear.
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Treatment of nerve injuries
Wherever a cut is made, a scar will form. Either nerve can be connected microsurgically to the facial nerve and can begin to provide a new nerve supply within several months. Many options exist in both categories and your surgeon can discuss these with you. If your job involves heavy exertion, you should take a total of one month off work. Who is a suitable candidate.
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