Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Modern concepts in facial nerve reconstruction | Volk et al. Head Face Medicine 2010 6 25 http content 6 1 25 HEAD FACE MEDICINE REVIEW Open Access Modern concepts in facial nerve reconstruction Gerd F Volk Mira Pantel Orlando Guntinas-Lichius Abstract Background Reconstructive surgery of the facial nerve is not daily routine for most head and neck surgeons. The published experience on strategies to ensure optimal functional results for the patients are based on small case series with a large variety of surgical techniques. On this background it is worthwhile to develop a standardized approach for diagnosis and treatment of patients asking for facial rehabilitation. Conclusion A standardized approach is feasible Patients with chronic facial palsy first need an exact classification of the palsy s aetiology. A step-by-step clinical examination if necessary MRI imaging and electromyographic examination allow a classification of the palsy s aetiology as well as the determination of the severity of the palsy and the functional deficits. Considering the patient s desire age and life expectancy an individual surgical concept is applicable using three main approaches a early extratemporal reconstruction b early reconstruction of proximal lesions if extratemporal reconstruction is not possible c late reconstruction or in cases of congenital palsy. Twelve to 24 months after the last step of surgical reconstruction a standardized evaluation of the therapeutic results is recommended to evaluate the necessity for adjuvant surgical procedures or other adjuvant procedures . botulinum toxin application. Up to now controlled trials on the value of physiotherapy and other adjuvant measures are missing to give recommendation for optimal application of adjuvant therapies. Introduction Although peripheral facial palsy is the most common pathology of the cranial nerves with an incidence ranging from 20 to 30 cases per people per year only a minority of the patients need a surgical treatment. During the
