Masseteric Nerve Transfer for Reanimating the Early Facial Nerve Paralysis in Children | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 12, December 2024 | ||||
| DOI: 10.58675/2682-339X.2823 | ||||
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| Authors | ||||
| Moustafa Meky; Sherif Youssef; Mostafa Darrag | ||||
| Plastic and Burn Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Facial paralysis is a devastating illness, and the management of it is difficult. The condition exhibits a wide range of severity and presentation, as well as a variety of causes. Aim: To assess the efficacy of utilizing the nerve to masseter muscle for reanimating the early cases of facial nerve paralysis in children. Patients and methods: Ten cases have been involved in this uncontrolled longitudinal study within the Al Azhar University Hospitals. In these patients, the masseteric nerve has been used to reanimate the early facial nerve paralysis in children; Sunnybrook Facial grading System will be utilized for assessment of the procedure. Results: According to Sunnybrook Facial grading System, resting symmetry mean score was (14.5 ± 4.1) for all patients before the procedure range (20-10), postoperative mean score is (8.5 ± 3.9) range (15-5), symmetry of voluntary movement preoperative mean score was (22 ± 2) and postoperative mean score is (49.2 ± 6.2), synkinesis score averaged (0.2) in all cases at the latest follow up. The mean total score preoperative was (7.5 ± 3.3) and the postoperative mean score was (40.5 ± 4.6). Regarding the complications, two patients developed synkinesis that involved the eye, and one patient developed hypertrophic scar. Conclusion: Overall, our data suggested fruitful outcomes with low complication rates for utilizing the masseteric nerve for facial palsy reanimation in kids. The absence of spontaneous smiling is the primary drawback of masseteric nerve utilization. | ||||
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