August 17, 2024Clinical Anatomy

The effect of increasing motor end‐plate innervation on smile activation in acute and early facial palsy

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Authors

LPLucia PannutoBroomfield Hospital AKAnkur KhajuriaUniversity College Hospital RKRuben Y. KannanQueen Victoria Hospital

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Implication

Retrospective review shows improved smile activation from increased motor endplate innervation in acute facial palsy, indicating that distal nerve transfers enhance reanimation.

Key Points

Increasing motor endplate innervation significantly improves smile activation in acute facial palsy, and triple-neurotization yields superior restoration of upper lip elevation.
Upper lip elevation improved in 100% of triple-neurotization cases compared to 25% with single transfers, with vascularized cross-facial nerve grafting providing superior movement.
Retrospective cohort review of 16 consecutive patients demonstrates that distal nerve transfers directly targeting motor endplates optimize smile excursion during facial reanimation.

Cite This Study

Pannuto et al. (2024) studied this question.

synapsesocial.com/papers/68e5be72b6db643587556195 https://doi.org/10.1002/ca.24216

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Implication

Retrospective review shows improved smile activation from increased motor endplate innervation in acute facial palsy, indicating that distal nerve transfers enhance reanimation.

The effect of increasing motor end‐plate innervation on smile activation in acute and early facial palsy

Discussion

Member takes

Implication

Key Points

Cite This Study

The effect of increasing motor end‐plate innervation on smile activation in acute and early facial palsy

Discussion

Member takes

Implication

Key Points

Cite This Study

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