Cross-face nerve transfer for established trigeminal branch II palsy. 2009

Isao Koshima, and Mitsunaga Narushima, and Makoto Mihara, and Gentaro Uchida, and Masahiro Nakagawa
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. koushimai-pla@h.u-tokyo.ac.jp

Reconstruction for trigeminal nerve II palsy is challenging. Cross-face nerve transfer from the contralateral trigeminal nerve facilitates this reconstruction. However, the microanatomy and techniques required for nerve sutures cause problems for many surgeons. Following the recent development of supramicrosurgical techniques appropriate for the microanatomy of peripheral nerves, a new method of intraoral "cross-face nerve transfer" was successfully used for repairing trigeminal nerve II palsy. Two cases of trigeminal nerve II palsy were repaired with contralateral trigeminal nerve transfer without any nerve graft. Affected upper labial sensory recovery was 1.65 to 2.44 (Semmes-Weinstein values) and 15 to 30 mm (moving 2-point discriminations) at 1 to 1 1/2 years after surgery. The advantages of this method are excellent nerve regeneration and the lack of donor site morbidity. It is a brief and simple operation in comparison to free nerve grafts. The disadvantage is a need for a supramicrosurgical technique, using a needle less than 80 microm wide.

UI MeSH Term Description Entries
D008866 Microsurgery The performance of surgical procedures with the aid of a microscope.
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009364 Neoplasm Recurrence, Local The local recurrence of a neoplasm following treatment. It arises from microscopic cells of the original neoplasm that have escaped therapeutic intervention and later become clinically visible at the original site. Local Neoplasm Recurrence,Local Neoplasm Recurrences,Locoregional Neoplasm Recurrence,Neoplasm Recurrence, Locoregional,Neoplasm Recurrences, Local,Recurrence, Local Neoplasm,Recurrence, Locoregional Neoplasm,Recurrences, Local Neoplasm,Locoregional Neoplasm Recurrences,Neoplasm Recurrences, Locoregional,Recurrences, Locoregional Neoplasm
D009416 Nerve Regeneration Renewal or physiological repair of damaged nerve tissue. Nerve Tissue Regeneration,Nervous Tissue Regeneration,Neural Tissue Regeneration,Nerve Tissue Regenerations,Nervous Tissue Regenerations,Neural Tissue Regenerations,Regeneration, Nerve,Regeneration, Nerve Tissue,Regeneration, Nervous Tissue,Regeneration, Neural Tissue,Tissue Regeneration, Nerve,Tissue Regeneration, Nervous,Tissue Regeneration, Neural
D009918 Orbital Neoplasms Neoplasms of the bony orbit and contents except the eyeball. Neoplasm, Orbital,Neoplasms, Orbital,Orbital Neoplasm
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D003528 Carcinoma, Adenoid Cystic Carcinoma characterized by bands or cylinders of hyalinized or mucinous stroma separating or surrounded by nests or cords of small epithelial cells. When the cylinders occur within masses of epithelial cells, they give the tissue a perforated, sievelike, or cribriform appearance. Such tumors occur in the mammary glands, the mucous glands of the upper and lower respiratory tract, and the salivary glands. They are malignant but slow-growing, and tend to spread locally via the nerves. (Dorland, 27th ed) Cylindroma,Adenocystic Carcinoma,Adenocystic Carcinomas,Adenoid Cystic Carcinoma,Adenoid Cystic Carcinomas,Carcinoma, Adenocystic,Carcinomas, Adenocystic,Carcinomas, Adenoid Cystic,Cylindromas,Cystic Carcinoma, Adenoid,Cystic Carcinomas, Adenoid
D005151 Facial Injuries General or unspecified injuries to the soft tissue or bony portions of the face. Injuries, Facial,Facial Injury,Injury, Facial
D005158 Facial Paralysis Severe or complete loss of facial muscle motor function. This condition may result from central or peripheral lesions. Damage to CNS motor pathways from the cerebral cortex to the facial nuclei in the pons leads to facial weakness that generally spares the forehead muscles. FACIAL NERVE DISEASES generally results in generalized hemifacial weakness. NEUROMUSCULAR JUNCTION DISEASES and MUSCULAR DISEASES may also cause facial paralysis or paresis. Facial Palsy,Hemifacial Paralysis,Facial Palsy, Lower Motor Neuron,Facial Palsy, Upper Motor Neuron,Facial Paralysis, Central,Facial Paralysis, Peripheral,Facial Paresis,Lower Motor Neuron Facial Palsy,Upper Motor Neuron Facial Palsy,Central Facial Paralyses,Central Facial Paralysis,Facial Palsies,Facial Paralyses, Central,Facial Paralyses, Peripheral,Palsies, Facial,Palsy, Facial,Paralyses, Central Facial,Paralyses, Facial,Paralyses, Hemifacial,Paralysis, Central Facial,Paralysis, Facial,Paralysis, Hemifacial,Paralysis, Peripheral Facial,Pareses, Facial,Paresis, Facial,Peripheral Facial Paralysis
D005260 Female Females

Related Publications

Isao Koshima, and Mitsunaga Narushima, and Makoto Mihara, and Gentaro Uchida, and Masahiro Nakagawa
April 1980, British journal of plastic surgery,
Isao Koshima, and Mitsunaga Narushima, and Makoto Mihara, and Gentaro Uchida, and Masahiro Nakagawa
January 1982, Annales chirurgiae et gynaecologiae,
Isao Koshima, and Mitsunaga Narushima, and Makoto Mihara, and Gentaro Uchida, and Masahiro Nakagawa
October 1976, Proceedings of the Royal Society of Medicine,
Isao Koshima, and Mitsunaga Narushima, and Makoto Mihara, and Gentaro Uchida, and Masahiro Nakagawa
December 1976, Proceedings of the Royal Society of Medicine,
Isao Koshima, and Mitsunaga Narushima, and Makoto Mihara, and Gentaro Uchida, and Masahiro Nakagawa
February 1977, Proceedings of the Royal Society of Medicine,
Isao Koshima, and Mitsunaga Narushima, and Makoto Mihara, and Gentaro Uchida, and Masahiro Nakagawa
December 2010, Surgical and radiologic anatomy : SRA,
Isao Koshima, and Mitsunaga Narushima, and Makoto Mihara, and Gentaro Uchida, and Masahiro Nakagawa
May 2020, The Annals of otology, rhinology, and laryngology,
Isao Koshima, and Mitsunaga Narushima, and Makoto Mihara, and Gentaro Uchida, and Masahiro Nakagawa
February 2014, Plastic and reconstructive surgery. Global open,
Isao Koshima, and Mitsunaga Narushima, and Makoto Mihara, and Gentaro Uchida, and Masahiro Nakagawa
August 2010, Plastic and reconstructive surgery,
Isao Koshima, and Mitsunaga Narushima, and Makoto Mihara, and Gentaro Uchida, and Masahiro Nakagawa
December 2016, Hand surgery & rehabilitation,
Copied contents to your clipboard!