sural nerve for facial reanimation

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make three grafts out of one sural nerve

Text of sural nerve for facial reanimation

  • 1. Diagnosis?

2. ChronicUnilateralfacialpalsyFacialreanima7onOnestage TwostageThreestage 3. Two/threestagenervegra= musclegra=hypoglossal(ipsi) pectoralisminor accessory(ipsi) la7ssimusdorsi masseter(ipsi) gracilis sural(crossface)serratusanterior 4. Problemofmassmovement Possiblesolu7on:3independentneuronal inputscombinedwith3neurovascular pediclesofonesinglemuscle Can1suralnerveprovide3gra=s? 5. Yesitcan!Butwithhowmanyfascicles? 6. Somecontainmore...25cm 12117 30,5cm 9 631,5cm 10 7. ...somelessfascicles 8. 3 22cm 4423cm3 523,5cm 6 9. Meannumberoffascicleswas6,3atthe proximalend(min.1,max.20)and6,7distal (min.2,max.16)inthegeneratednervegra=s.Theaveragenumberofinterfascicularbridges (someofthembeingvery7ny),thathadtobe cutinonenerveinordertogeneratethese threenervetransplants,was15(min.6,max. 26).Themeasurablelengthofeachgra=was32 cminaverage(min.19cm,max.42cm). 10. Thankyou!