Facial Nerve Repair

Facial nerve repair is a vital specialty focused on restoring function and symmetry to the face after nerve damage. At Norelle Health, we are proud to provide expert facial nerve repair services to patients in New York City.

What Is Facial Nerve Repair

Facial nerve repair is a specialized medical procedure aimed at restoring the function and appearance of the face following damage to the facial nerve. This nerve controls the muscles responsible for facial expressions, and its damage can result in paralysis or weakness on one side of the face. The repair process can involve various techniques, including nerve grafts, nerve transfers, and muscle transfers, depending on the severity and location of the damage. The goal is to regain muscle movement and facial symmetry, enhancing both function and aesthetics. Our advanced facial nerve repair surgery in New York City enables patients to regain their ability to express emotions, communicate effectively, and enhance their overall quality of life.

 

Restoring Facial Symmetry and Function

Facial nerve repair outcomes can vary based on several factors, including the extent of nerve damage, the timing of the repair, and the surgical technique used. When the repair is successful, patients may gradually regain facial muscle function and symmetry, leading to improved facial expressions and a better quality of life. Early intervention and precise surgical techniques are crucial for achieving the best results, as delays in repair can result in more limited improvements. Additionally, post-operative rehabilitation and ongoing care are vital for maximizing the long-term benefits of facial nerve repair.

 

Types of Facial Nerve Repair Procedures

1. Direct Nerve Repair (Neurorrhaphy)

   • What It Is: This procedure involves directly suturing the ends of the severed nerve together.
   • When It’s Used: It is typically performed when the nerve injury is clean and the gap between the nerve ends is minimal.

2. Nerve Grafting

   • What It Is: A nerve graft from another part of the body is used to bridge a gap in the damaged nerve.
   • When It’s Used: This technique is employed when there is a significant gap between the ends of the severed nerve that cannot be directly sutured together.

3. Nerve Transfer (Neurorrhaphy)

   • What It Is: A healthy nerve from a different part of the body is connected to the facial muscles to restore function.
   • When It’s Used: This method is used when the facial nerve is severely damaged or not repairable, and another nerve can be re-routed to restore movement.

4. Cross-Facial Nerve Graft (CFNG)

   • What It Is: A nerve from the unaffected side of the face is grafted to the affected side, often in combination with nerve transfers.
   • When It’s Used: Used in cases of long-standing facial paralysis where the original nerve cannot be used.

5. Muscle Transfer (Free Functional Muscle Transfer)

   • What It Is: A muscle, along with its nerve and blood supply, is transplanted from another part of the body to the face.
   • When It’s Used: This is typically used for patients with long-term paralysis where both the nerve and the facial muscles have degenerated.

6. Temporalis Muscle Transfer

   • What It Is: The temporalis muscle, which is a chewing muscle, is re-routed to help reanimate the face.
   • When It’s Used: This procedure is used when other nerve repair techniques are not feasible or have failed.

7. Hypoglossal-Facial Nerve Anastomosis

   • What It Is: The hypoglossal nerve, which controls tongue movements, is connected to the facial nerve.
   • When It’s Used: This is used for cases where the facial nerve is not functioning, and an alternative nerve source is needed to restore facial muscle activity.

8. Botox Injections

   • What It Is: Botulinum toxin is injected to reduce muscle spasticity and improve facial symmetry.
   • When It’s Used: Often used as an adjunct to surgery or in cases where surgical options are not viable.

Each of these procedures aims to restore facial function and symmetry, but the choice of technique depends on the specific circumstances of the nerve damage, the patient’s overall health, and the surgeon’s expertise.

Facial Reanimation Specialist: Dr. Araslanova