Advances in Anatomy, Embryology and Cell Biology

Physical Rehabilitation of Paralysed Facial Muscles: Functional and Morphological Correlates

Authors: Angelov, Doychin N.

  • The author recently found that polyinnervation of the neuro-muscular junction (NMJ) is the critical factor for recovery of function after transection and suture of the facial nerve
  • Concludes that manual stimulation is a non-invasive procedure with immediate potential for clinical rehabilitation following facial nerve reconstruction
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eBook $159.00
price for USA (gross)
  • ISBN 978-3-642-18120-7
  • Digitally watermarked, DRM-free
  • Included format: PDF, EPUB
  • ebooks can be used on all reading devices
  • Immediate eBook download after purchase
Softcover $209.00
price for USA
  • ISBN 978-3-642-18119-1
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
About this book

Using a combined morpho-functional approach the author found that polyinnervation of the neuro-muscular juction (NMJ) is the critical factor for recovery of function after transection and suture of the facial nerve. Since polyinnervation is activity-dependent and can be manipulated, the author tried to design a clinically feasible therapy by electrical stimulation or by soft tissue massage. First, electrical stimulation was applied to the transected facial nerve or to paralysed facial muscles. Both procedures did not improve vibrissal motor performance (video-based motion analysis of whisking), failed to diminish polyinnervation and even reduced the number of innervated NMJ to one fifth of normal values. In contrast, gentle stroking of the paralysed vibrissal muscles by hand resulted in full recovery of whisking. This manual stimulation depends on intact sensory supply of the denervated muscle targets and is also effective after hypoglossal-facial anastomosis, after interpositional nerve grafting, when applied to the orbicularis oculi muscle and after transection and suture of the hypoglossal nerve. From these results the author concludes that manual stimulation is a non-invasive procedure with immediate potential for clinical rehabilitation following facial nerve reconstruction.

Table of contents (4 chapters)

  • Factors Limiting Motor Recovery After Facial Nerve Injury

    Angelov, Doychin N.

    Pages 1-9

  • Attempts to Improve Axonal Pathfinding and Quality of Target Reinnervation

    Angelov, Doychin N.

    Pages 11-92

  • Discussion

    Angelov, Doychin N.

    Pages 93-118

  • Conclusions

    Angelov, Doychin N.

    Pages 119-120

Buy this book

eBook $159.00
price for USA (gross)
  • ISBN 978-3-642-18120-7
  • Digitally watermarked, DRM-free
  • Included format: PDF, EPUB
  • ebooks can be used on all reading devices
  • Immediate eBook download after purchase
Softcover $209.00
price for USA
  • ISBN 978-3-642-18119-1
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
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Bibliographic Information

Bibliographic Information
Book Title
Physical Rehabilitation of Paralysed Facial Muscles: Functional and Morphological Correlates
Authors
Series Title
Advances in Anatomy, Embryology and Cell Biology
Series Volume
210
Copyright
2011
Publisher
Springer-Verlag Berlin Heidelberg
Copyright Holder
Springer-Verlag Berlin Heidelberg
eBook ISBN
978-3-642-18120-7
DOI
10.1007/978-3-642-18120-7
Softcover ISBN
978-3-642-18119-1
Series ISSN
0301-5556
Edition Number
1
Number of Pages
XII, 144
Number of Illustrations and Tables
8 b/w illustrations, 14 illustrations in colour
Topics