Preface: The Challenge to Achieve Emotion ix
Teresa González Otero
Facial Nerve Reconstruction after Oncologic Resections: Grafts and Double Innervation i
Jorge Noguera Tomás and Teresa González Otero
Video content accompanies this article at http://www.oralmaxsurgeryatlas.theclinics.com.
Introduction: nature of the problem 1
Preoperative planning 1
Surgical technique 2
Rehabilitation and recovery 6
Summary 8
Disclosure 8
Supplementary data 8
Side-to-End Intratemporal Hypoglossal-to-Facial Transfer 9
Luis Lassaletta, José Manuel Morales-Puebla, David Molnar, Teresa González-Otero, and Javier Gavilán
Introduction: nature of the problem 9
Surgical technique 9
Preoperative Planning 9
Surgical Procedure 12
Potential Complications 15
Pearls and Pitfalls 16
Immediate Postoperative Care 17
Rehabilitation and Recovery 17
Disclosure 17
V to VII Nerve Transfer for Smile Reanimation 19
Federico Biglioli and Fabiana Allevi
Manuscript 19
Video content accompanies this article at http://www.oralmaxsurgeryatlas.theclinics.com.
Indications 19
Contraindications 22
Surgical technique 22
Clinics care points 24
Supplementary data 24
The Role of the Cross Face Nerve Graft in Facial Reanimation and Endoscopic Harvest of the Sural Nerve 25
Jennifer L. Harb and Liliana J. Ein
Video content accompanies this article at http://www.oralmaxsurgeryatlas.theclinics.com.
Introduction 25
Choice of nerve graft for cross-face nerve grafting 26
Conventional versus endoscopic sural nerve harvest 26
Surgical technique 26
Closure and immediate postoperative care 29
Rehabilitation and recovery 29
Potential complications 29
Pearls and pitfalls 30
Summary 31
Conflict of interest/disclosure statement 31
Supplementary data 31
Microvascular Gracilis Free Flap: Single and Double Innervation 33
Rahul Varman and Matthew Q. Miller
Video content accompanies this article at http://www.oralmaxsurgeryatlas.theclinics.com.
Introduction 33
Patient assessment 33
Operative candidate 34
Counseling 34
Alternative Procedures 34
Risks 35
Expectations 35
Operative procedure 35
Stage 1: Cross-Face Nerve Graft 35
Stage 2: Free Gracilis Muscle Transfer 36
Intraoperative pearls 39
Revision procedures 39
Clinics care points 40
Future directions 40
Summary 40
Supplementary data 40
Lengthening Temporalis Myoplasty: A Surgical Guide to Labbé’s Technique 43
Mohammed Saleem Al Khabori, Haïzam Oubari, Pierre Guerreschi, and Daniel Labbé
Video content accompanies this article at http://www.oralmaxsurgeryatlas.theclinics.com.
Introduction: nature of the problem 43
Surgical technique 43
Preoperative planning 43
Surgical procedure 44
Osteotomy and exposure 44
Myoplasty 45
Pearls and pitfalls 51
Undercorrection or overcorrection 51
Temporal notch 51
Retraction of the labial commissure 51
Perioperative blood loss 51
Horizontal direction of the labial commissure traction vector 51
Immediate postoperative care 51
Rehabilitation 51
Summary 54
Supplementary data 54
The Facial Graft: A Graft of Emotions? (About the Reanimation of the Facial Allotransplantation) 57
Bernard Devauchelle, Stephanie Dakpe, and Sylvie Testelin
Introduction 57
Indications 57
Nature of the problem 58
Surgical technique (step-by-step procedure) 58
Planning for Face Transplant 58
Surgical Procedure 58
Complications 60
Postoperative Cares 62
Physiotherapy 62
Function and Sensibility Rehabilitation 62
Secondary Surgeries 62
Overview of the nervous regeneration of the facial transplant 63
Summary 63
Modified Selective Neurectomy for Post Facial Paralysis Synkinesis Smile Dysfunction 65
Anna Frants and Babak Azizzadeh
Introduction 65
Surgical procedure 66
Preparation and Patient Positioning 66
Surgical Procedure 66
Potential Complications 67
Pearls and pitfalls 67
Immediate Postoperative Care 68
Summary 68
Disclosure 69
Botulinum Toxin in Facial Reanimation: Map of the Facial Musculature and Dosage 71
Tracy VandeWater and Laura Hetzler
Video content accompanies this article at http://www.oralmaxsurgeryatlas.theclinics.com.
Introduction 71
Preoperative Planning 71
Preparation and Patient Positioning 71
Surgical Approach 71
Potential complications 80
Pearls and pitfalls 81
Immediate postoperative care 82
Rehabilitation and Recovery 82
Summary 83
Supplementary data 83
