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Maxillofacial Surgery
Facial Nerve and Nasal Reconstruction (AO Based)
Built from AO Surgery Reference: CMF Trauma, Pediatric Trauma and Reconstruction (AO Foundation)
What’s inside
3 sections · 103 slides
Overview
- Introduction
- Scope of this seminar
- Facial nerve: anatomy and evaluation
- Anatomy of the facial nerve
- Anatomy of the facial nerve
- Landmarks for the facial nerve
- Landmarks for the facial nerve
- Objectives in the paralyzed face
- Objectives in the paralyzed face
- Corneal protection comes first
- History: cause, duration and change
- Examination of cranial nerves V and VII
- Investigations in facial paralysis
- Bell's palsy and congenital paralysis
- Synkinesis: treatment options
- Classification of facial paralysis
- Reversible versus irreversible paralysis
- AO treatment tree for facial paralysis
- Reversible paralysis
- Observation schedule after injury
- Observation schedule after injury
- Options in reversible paralysis
- Options in reversible paralysis (cont.)
- Options in reversible paralysis (continued)
- Options in reversible paralysis (continued) (cont.)
- Choosing the motor nerve source
- Choosing the motor nerve source
- Approaches for facial nerve exploration
- Approaches for facial nerve exploration
- Direct nerve repair: steps
- Direct nerve repair: steps
- Interpositional nerve grafting by level
- Interpositional nerve grafting by level
- Masseteric versus hypoglossal transfer
- Masseteric versus hypoglossal transfer
- Lower division: leave or reinnervate
- Lower division: leave or reinnervate
- Irreversible paralysis: eye complex
- Options for the paralyzed eye complex
- Options for the paralyzed eye complex (cont.)
- Lateral tarsorrhaphy: steps
- Lateral tarsorrhaphy: steps
- Direct brow lift
- Direct brow lift
- Upper eyelid weight: steps
- Upper eyelid weight: steps
- Lateral strip canthopexy: steps
- Lateral strip canthopexy: steps
- Lower eyelid tendon sling: steps
- Lower eyelid tendon sling: steps
- Irreversible paralysis: midface and mouth
- Options for the midface and mouth
- Options for the midface and mouth (cont.)
- Static suspension with tendons
- Static suspension with tendons
- Masseter muscle transposition
- Masseter muscle transposition
- Temporalis transfer: antidromic, orthodromic
- Temporalis transfer: antidromic, orthodromic
- Free gracilis transfer: steps
- Free gracilis transfer: steps
- Aftercare after midface procedures
- Irreversible paralysis: lower lip
- Options for the paralyzed lower lip
- Options for the paralyzed lower lip (cont.)
- Nose reconstruction: principles
- AO categories of nasal defect
- AO categories of nasal defect
- Planning and principles of repair
- The subunit principle
- Cartilage grafts for nasal support
- Cartilage grafts for nasal support
- Small superficial nasal defects
- Options for small superficial defects
- Options for small superficial defects
- One stage nasolabial flap: steps
- One stage nasolabial flap: steps
Large partial thickness nasal defects
- Options for large partial thickness defects
- Options for large partial thickness defects
- Two stage versus three stage forehead flap
- Two stage versus three stage forehead flap
- Three stage forehead flap: sequence
- Three stage forehead flap: sequence
Full thickness nasal defects
- Lining options for full thickness defects
- Lining options for full thickness defects
- Intranasal septal lining flaps
- Intranasal septal lining flaps
- Three stage folded forehead flap
- Three stage folded forehead flap
- Four stage flap with radial forearm lining
- Four stage flap with radial forearm lining
- Aftercare and revision of the nose
- Aftercare and revision of the nose
- Take-home messages
- References (1 of 6)
- References (2 of 6)
- References (3 of 6)
- References (4 of 6)
- References (5 of 6)
- References (6 of 6)
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