{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T04:11:30Z","timestamp":1747368690438,"version":"3.40.5"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Although postparalytic facial nerve syndrome (PFS) is a frequent sequela of partial facial palsy, no effective treatment is currently available. Herein, we report a case of a cross-face nerve graft (CFNG) technique with selective neurectomy of the facial nerve in a 52-year-old female with moderate PFS (especially oral-ocular synkinesis and facial contracture) and a House\u2013Brackmann score grade III. Selective neurectomy resulted in the release of the synkinesis and contractures. Furthermore, we reinnervated the levator muscles of the upper lip and oral commissure by connecting the contralateral facial nerve to the thick zygomatic branch of the facial nerve via a CFNG, which allowed neural signal augmentation of the levator muscles. No obvious PFS recurrence was observed 1 year postoperatively. This procedure is expected to provide a new treatment option for improving PFS because it is effective and less invasive.<\/jats:p>","DOI":"10.1055\/a-2531-3083","type":"journal-article","created":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T00:05:22Z","timestamp":1738713922000},"page":"125-131","source":"Crossref","is-referenced-by-count":0,"title":["Selective Neurectomy of the Facial Nerve with Cross-Face Nerve Graft for Treating Postparalytic Facial Nerve Syndrome"],"prefix":"10.1055","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5407-0819","authenticated-orcid":false,"given":"Ko","family":"Nakao","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Ichikawa General Hospital, Tokyo Dental College, Ichikawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0608-237X","authenticated-orcid":false,"given":"Takako","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Ichikawa General Hospital, Tokyo Dental College, Ichikawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6073-6832","authenticated-orcid":false,"given":"Hisashi","family":"Sakuma","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Ichikawa General Hospital, Tokyo Dental College, Ichikawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,5,15]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1007\/s00266-014-0346-y","article-title":"Selective neurolysis in post-paralytic facial nerve syndrome (PFS)","volume":"38","author":"G M Bran","year":"2014","journal-title":"Aesthetic Plast Surg"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"e320","DOI":"10.1097\/GOX.0000000000000283","article-title":"Postparalysis facial synkinesis: clinical classification and surgical strategies","volume":"3","author":"D C Chuang","year":"2015","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1002\/lary.23873","article-title":"Two-step highly selective neurectomy for refractory periocular synkinesis","volume":"123","author":"M H Hohman","year":"2013","journal-title":"Laryngoscope"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.1097\/PRS.0000000000005590","article-title":"Modified selective neurectomy for the treatment of post-facial paralysis synkinesis","volume":"143","author":"B Azizzadeh","year":"2019","journal-title":"Plast Reconstr Surg"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1097\/00006534-198711000-00005","article-title":"Surgical anatomy of the mimic muscle system and the facial nerve: importance for reconstructive and aesthetic surgery","volume":"80","author":"G Freilinger","year":"1987","journal-title":"Plast Reconstr Surg"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1097\/PRS.0000000000003543","article-title":"Facial nerve supply to the orbicularis oculi around the lower eyelid: anatomy and its clinical implications","volume":"140","author":"Y Choi","year":"2017","journal-title":"Plast Reconstr Surg"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1097\/00000658-193705000-00002","article-title":"Surgical treatment of facial spasm","volume":"105","author":"C C Coleman","year":"1937","journal-title":"Ann Surg"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/S0007-1226(50)80010-3","article-title":"Spastic facial palsy; 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Preliminary report","volume":"61","author":"M Spira","year":"1978","journal-title":"Plast Reconstr Surg"},{"issue":"12","key":"ref14","doi-asserted-by":"crossref","first-page":"1580","DOI":"10.1016\/j.bjps.2008.05.046","article-title":"Masseteric-facial nerve coaptation\u2013an alternative technique for facial nerve reinnervation","volume":"62","author":"C J Coombs","year":"2009","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"12","key":"ref15","doi-asserted-by":"crossref","first-page":"1589","DOI":"10.1016\/j.bjps.2008.07.025","article-title":"Dual innervation method using one-stage reconstruction with free latissimus dorsi muscle transfer for re-animation of established facial paralysis: simultaneous reinnervation of the ipsilateral masseter motor nerve and the contralateral facial nerve to improve the quality of smile and emotional facial expressions","volume":"62","author":"Y Watanabe","year":"2009","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1055\/s-0039-3400673","article-title":"Changes in electrical activity of the masseter muscle and masticatory force after the use of the masseter nerve as donor in facial reanimation surgery","volume":"53","author":"J E Telich-Tarriba","year":"2020","journal-title":"Indian J Plast Surg"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"110e","DOI":"10.1097\/PRS.0b013e318290f644","article-title":"Involuntary movement during mastication in patients with long-term facial paralysis reanimated with a partial gracilis free neuromuscular flap innervated by the masseteric nerve","volume":"132","author":"S Rozen","year":"2013","journal-title":"Plast Reconstr Surg"},{"issue":"05","key":"ref18","doi-asserted-by":"crossref","first-page":"1090","DOI":"10.1097\/PRS.0000000000011345","article-title":"The synkinetic mentalis muscle and its negative effect on the smile: pathomechanism and treatment with mentalis targeted selective neurectomies","volume":"154","author":"F Facchin","year":"2024","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref19","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1097\/PRS.0000000000011134","article-title":"Discussion: selective myectomies alone versus selective myectomies combined with selective neurectomies in patients with postparetic synkinesis: comparing outcomes","volume":"154","author":"B Hontanilla","year":"2024","journal-title":"Plast Reconstr Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2531-3083.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T22:46:52Z","timestamp":1747349212000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2531-3083"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,4]]},"references-count":19,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,5,15]]},"published-print":{"date-parts":[[2025,5]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2531-3083","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"type":"print","value":"2234-6163"},{"type":"electronic","value":"2234-6171"}],"subject":[],"published-other":{"date-parts":[[2025,2,4]]},"published":{"date-parts":[[2025,2,4]]}}}