Effects of electrostimulation therapy in facial nerve palsy

Archives of Plastic Surgery

Laura Sommerauer¹  Alexandra Anker¹  Lukas Prantl¹  Simon Engelmann¹  Marc Ruewe¹  Andreas Kehrer¹ 

[1] Department of Plastic, Hand and Reconstructive Surgery, University Medical Centre Regensburg, Regensburg, Germany;

关键词: facial paralysis;    electrical stimulation;    neurotization;    cross face nerve graft;    craniofacial;   

DOI  :  10.5999/aps.2020.01025

来源: DOAJ

【 摘 要 】

Facial palsy (FP) is a functional disorder of the facial nerve involving paralysis of the mimic muscles. According to the principle “time is muscle,” early surgical treatment is tremendously important for preserving the mimic musculature if there are no signs of nerve function recovery. In a 49-year-old female patient, even 19 months after onset of FP, successful neurotization was still possible by a V-to-VII nerve transfer and cross-face nerve grafting. Our patient suffered from complete FP after vestibular schwannoma surgery. With continuous application of electrostimulation (ES) therapy, the patient was able to bridge the period between the first onset of FP and neurotization surgery. The significance of ES for mimic musculature preservation in FP patients has not yet been fully clarified. More attention should be paid to this form of therapy in order to preserve the facial musculature, and its benefits should be evaluated in further prospective clinical studies.

【 授权许可】

Unknown