Surgical treatment of synkinesis between smiling and eyelid closure

Publication date: December 2017 Source:Journal of Cranio-Maxillofacial Surgery, Volume 45, Issue 12 Author(s): Federico Biglioli, Otilija Kutanovaite, Dimitri Rabbiosi, Giacomo Colletti, M.A.S. Mohammed, Alberto M. Saibene, Silvia Cupello, Antonino Privitera, Valeria M.A. Battista, Alessandro Lozza, Fabiana Allevi Synkinetic movements are common among patients with incomplete recovery from facial palsy, with reported rates ranging from 9.1% to almost 100%. The authors propose the separation of the neural stimulus of the orbicularis oculi from that of the zygomatic muscular complex to treat eyelid closure/smiling synkinesis. This technique, associated with an anastomosis between the masseteric nerve and a central branch of the facial nerve, as well as with the use of a cross-facial nerve g...

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