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A review of the studies on facial reanimation surgery and concept of plasticity of the cerebral cortex
J Korean Skull Base Soc 2020;15(2):75-84
Published online October 31, 2020
© 2020 Korean Skull Base Society.

Shin Hyuk Kang, Hak Chang

Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea
Correspondence to: Hak Chang
주소 : Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea
Tel : +82-2-2072-2375
Fax : +82-2-3675-7792
E-mail : prshchang@gmail.com
Received September 21, 2020; Accepted October 7, 2020.
Abstract
Numerous studies in the field of facial reanimation surgery have been conducted by surgeons, basic research scientists, and bioengineers, and the clinical applications of various techniques have been reported. Nevertheless, these techniques remain inadequate in ensuring complete recovery of damaged nerves. However, a surgical method using the masseter nerve has shown a high success rate and satisfactory results in the recent literature. Various advanced surgical techniques have also been reported to reduce the morbidity of donors, with early functional nerve recovery. Furthermore, research is continuing into the cortical pathways related to cerebral adaptation with independent movement and natural functional recovery. More creative and developmental attempts are expected in the future. The focus of future research will be on nerve regeneration technology using nerve transfer, with the aim of enabling faster recovery and improving meaningful function and emotional facial movement. This article focuses on various facial reanimation surgery techniques, together with concepts of cerebral adaptation.
Keywords : Facial reanimation, Facial palsy, Nerve graft, Nerve splitting, Cerebral adaptation


October 2020, 15 (2)
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