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- W2480622983 abstract "I have performed thousands of microsurgical reconstructions for peripheral nerve injury in my 30-year career as a reconstructive microsurgeon. Most of the patients presented with brachial plexus injury and facial palsy. The brachial plexus conveys essential peripheral motor and sensory nerve functions of the upper limbs, whereas the facial nerve governs facial muscle movements and facial animation. Injuries to both of these nerves have devastating psychological and functional impact on their victims. The brachial plexus has complex anatomical arrangements, which is reflected in its complex clinical examination, complex laboratory evaluation, and complex strategic reconstruction planning. Postoperative rehabilitation and sequelae reconstructions are crucial for results. The facial nerve and its innervated facial muscles are essential for facial animation. Once facial nerve palsy develops, it causes both dynamic and static facial asymmetry. 20% of facial palsy will develop facial synkinesis. Facial palsy or facial synkinesis results in serious affliction and devastation to the patients. The course of brachial plexus injury and facial palsy and their recovery are similar, which include nerve degeneration and regeneration, muscle atrophy, and reinnervation. Surgical treatment options include nerve repair, nerve graft, nerve transfer, functioning free muscle transplantation, and sequelae reconstructions. Timing of nerve exploration and techniques of nerve reconstructions (nerve grafts and/or nerve transfer) in both of these two conditions are similar, although controversial. The results are apt to be optimistic and acceptable." @default.
- W2480622983 created "2016-08-23" @default.
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- W2480622983 date "2016-06-28" @default.
- W2480622983 modified "2023-09-23" @default.
- W2480622983 title "Microsurgical Reconstruction in Brachial Plexus Injury and Facial Paralysis" @default.
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- W2480622983 doi "https://doi.org/10.1159/000444961" @default.
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