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Facial Paralysis Treatment: Synkinesis Surgery a.k.a Selective Neurolysis or Selective Neurectomy
WHAT IS FACIAL PARALYSIS
WHAT IS SYNKINESIS
synkinesis is deformation of the face due to unwanted contraction of muscles and this is caused by impaired healing of the nerves and unwanted signaling
WHAT ARE THE SIGNS OF SYNKİNESİS ?
unwanted closure of the eye
tightness around the neck
tightness around the neck
impaired smile, down pulling of the mouth corner
dimpling in the chin
deeper nasolabial fold
WHAT SHOULD YOU EXPECT ?
synkinesis happens as the consequence of facial paralysis around 6-18 months after facial paralysis
synkinesis matures 18 months after you have facial paralysis. and once it happens and matures we'd expect it .facial paralysis and synkinesis can happen and impair facial nerve and movements of the face for a life long time if left untreated
WHAT ARE TREATMENT OPTİONS ?
physical therapy and chemodenervation is an option
but what i want to focus on today is selective neurolysis surgery
aka selective neurectomy
aka selective denervation
WHAT IS SELECTIVE NEUROLYSIS SURGERY ?
selective neurolysis uses principles of microsurgery and electrostimulation for super selective nerve mapping.
preoperative assessment can be done to understand which nerves and muscles in your face and intraoperatively with microsurgery and subtle electrosimulation (nerve monitoring) nerve can be mapped.
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27 июл 2024