Multidisciplinary Care: Facial Reanimation in the Pediatric Population

Vamsi C. Mohan; Muhammad Akram; Benjamin D. Belfort; Amjed Abu-Ghname; Amy S. Xue

doi:10.1055/s-0045-1808271

Seminars in Plastic Surgery, Inhaltsverzeichnis

Semin Plast Surg 2025; 39(02): 075-081
DOI: 10.1055/s-0045-1808271

Review Article

Multidisciplinary Care: Facial Reanimation in the Pediatric Population

Vamsi C. Mohan

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

²Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas

,

Muhammad Akram

³Division of Plastic Surgery, Department of Surgery, Houston Methodist Hospital, Texas A&M University, Houston, Texas

,

Benjamin D. Belfort

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

²Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas

,

Amjed Abu-Ghname

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

²Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas

,

Amy S. Xue

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

²Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas

› Institutsangaben

Abstract

Facial reanimation refers to the array of options available to manage patients with facial nerve injury or palsy. From congenital to acquired etiologies, a multidisciplinary approach and team is needed to treat the functional and aesthetic deficits these patients may experience. This is particularly true in the pediatric population, who frequently experience significant psychosocial stress from their peers, and cannot adequately voice their experiences due to age. The purpose of this article is to highlight the multidisciplinary team members, their roles, and provide our perspective at Texas Children's Hospital.

Keywords

facial nerve - multidisciplinary team - facial reanimation - plastic surgery - reconstruction

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References
1 Ishii LE. Facial nerve rehabilitation. Facial Plast Surg Clin North Am 2016; 24 (04) 573-575
2 Ciorba A, Corazzi V, Conz V, Bianchini C, Aimoni C. Facial nerve paralysis in children. World J Clin Cases 2015; 3 (12) 973-979
3 Malik M, Cubitt JJ. Paediatric facial paralysis: an overview and insights into management. J Paediatr Child Health 2021; 57 (06) 786-790
4 Seneviratne SO, Patel BC. Facial nerve anatomy and clinical applications. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2024. . Accessed October 31, 2024 at: http://www.ncbi.nlm.nih.gov/books/NBK554569/
5 Yang SH, Park H, Yoo DS, Joo W, Rhoton A. Microsurgical anatomy of the facial nerve. Clin Anat 2021; 34 (01) 90-102
6 Terzis JK, Anesti K. Developmental facial paralysis: a review. J Plast Reconstr Aesthet Surg 2011; 64 (10) 1318-1333
7 Walker NR, Mistry RK, Mazzoni T. Facial nerve palsy. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2025. . Accessed March 17, 2025 at: http://www.ncbi.nlm.nih.gov/books/NBK549815/
8 Schaverien M, Moran G, Stewart K, Addison P. Activation of the masseter muscle during normal smile production and the implications for dynamic reanimation surgery for facial paralysis. J Plast Reconstr Aesthet Surg 2011; 64 (12) 1585-1588
9 Lenz Y, Kiefer J, Dietrich F, Stark GB, Eisenhardt SU. Pre-operative masseter muscle EMG activation during smile predicts synchronicity of smile development in facial palsy patients undergoing reanimation with the masseter nerve: a prospective cohort study^✰ . J Plast Reconstr Aesthet Surg 2019; 72 (03) 505-512
10 Nakamura Y, Teramoto Y, Asami Y. et al. The rate of facial nerve dysfunction and time to recovery after intraparotid and extraparotid facial nerve exposure and protection in head and neck cutaneous tumor surgery. Int J Clin Oncol 2017; 22 (05) 843-848
11 Woo SH, Kim YC, Oh TS. Facial palsy reconstruction. Arch Craniofac Surg 2024; 25 (01) 1-10
12 Rahman I, Sadiq SA. Ophthalmic management of facial nerve palsy: a review. Surv Ophthalmol 2007; 52 (02) 121-144
13 Nassif T, Yung Chia C. Neurotized platysma graft: a new technique for functional reanimation of the eye sphincter in longstanding facial paralysis. Plast Reconstr Surg 2019; 144 (06) 1061e-1070e
14 Leckenby JI, Patel AU, Patel S, Rahman AA, Haque S, Grobbelaar AO. Free functional platysma transfer for restoration of spontaneous eye closure in facial paralysis. Plast Reconstr Surg 2023; 151 (06) 1296-1305
15 Bains RD, Elbaz U, Zuker RM, Ali A, Borschel GH. Corneal neurotization from the supratrochlear nerve with sural nerve grafts: a minimally invasive approach. Plast Reconstr Surg 2015; 135 (02) 397e-400e
16 Weis E, Rubinov A, Al-Ghoul AR, Yau FM. Sural nerve graft for neurotrophic keratitis: early results. Can J Ophthalmol 2018; 53 (01) 24-29
17 Lee BWH, Khan MA, Ngo QD, Tumuluri K, Samarawickrama C. Minimally invasive, indirect corneal neurotization using an ipsilateral sural nerve graft for early neurotrophic keratopathy. Am J Ophthalmol Case Rep 2022; 27: 101585
18 Terzis JK, Konofaos P. Nerve transfers in facial palsy. Facial Plast Surg 2008; 24 (02) 177-193
19 Snyder-Warwick AK, Fattah AY, Zive L, Halliday W, Borschel GH, Zuker RM. The degree of facial movement following microvascular muscle transfer in pediatric facial reanimation depends on donor motor nerve axonal density. Plast Reconstr Surg 2015; 135 (02) 370e-381e
20 Nellis JC, Ishii LE, Boahene KDO, Byrne PJ. Psychosocial impact of facial paralysis. Curr Otorhinolaryngol Rep 2018; 6 (02) 151-160
21 Rist TM, Segars K, Oyer SL. Influence of subclinical anxiety and depression on quality of life and perception of facial paralysis. Facial Plast Surg Aesthet Med 2023; 25 (01) 27-31
22 Swain SK, Panda S, Das S. Facial nerve paralysis and its social and psychological impact - a review. Int J Curr Res Rev 2021; 13 (10) 36-41
23 Vargo M, Ding P, Sacco M. et al. The psychological and psychosocial effects of facial paralysis: a review. J Plast Reconstr Aesthet Surg 2023; 83: 423-430
24 Hotton M, Huggons E, Hamlet C. et al. A systematic review of the psychosocial adjustment of children and adolescents with facial palsy: the impact of Moebius syndrome. Int J Environ Res Public Health 2020; 17 (15) 5528
25 Harris BN, Tollefson TT. Facial reanimation: evolving from static procedures to free tissue transfer in head and neck surgery. Curr Opin Otolaryngol Head Neck Surg 2015; 23 (05) 399-406
26 Deramo PJ, Greives MR, Nguyen PD. Pediatric facial reanimation: an algorithmic approach and systematic review. Arch Plast Surg 2020; 47 (05) 382-391
27 Nguyen TN, Dakpe S, Ho Ba Tho MC, Dao TT. Kinect-driven patient-specific head, skull, and muscle network modelling for facial palsy patients. Comput Methods Programs Biomed 2021; 200: 105846
28 Tran VD, Nguyen TN, Ballit A, Dao TT. Novel baseline facial muscle database using statistical shape modeling and in silico trials toward decision support for facial rehabilitation. Bioengineering (Basel) 2023; 10 (06) 737
29 Konstantinidi S, Imholz C, Martinez T. et al. Real-time actuation of a dielectric elastomer actuator neuroprosthesis for facial paralysis. Smart Mater Med 2024; 5 (01) 15-23
30 Aghdam MRF, Vodovnik A, Hameed RA. Role of telemedicine in multidisciplinary team meetings. J Pathol Inform 2019; 10 (01) 35