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Physical Rehabilitation of Paralysed Facial Muscles: Functional and Morphological Correlates

  • Book
  • © 2011

Overview

Authors:
  1. Doychin N. Angelov

    1. Institut I für Anatomie der Universität, Köln, Germany

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  • Using a combined morpho-functional approach 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.
  • Includes supplementary material: sn.pub/extras

Part of the book series: Advances in Anatomy, Embryology and Cell Biology (ADVSANAT, volume 210)

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Table of contents (4 chapters)

  1. Front Matter

    Pages i-xii
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  2. Factors Limiting Motor Recovery After Facial Nerve Injury

    • Doychin N. Angelov
    Pages 1-9

  3. Attempts to Improve Axonal Pathfinding and Quality of Target Reinnervation

    • Doychin N. Angelov
    Pages 11-92

  4. Discussion

    • Doychin N. Angelov
    Pages 93-118

  5. Conclusions

    • Doychin N. Angelov
    Pages 119-120

  6. Back Matter

    Pages 121-143
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Keywords

About this book

Using a combined morpho-functional approach the author recently 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, he 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. Manual stimulation was also effective after hypoglossal-facial anastomosis and after interpositional nerve grafting. The author concludes that manual stimulation is a non-invasive procedure with immediate potential for clinical rehabilitation following facial nerve reconstruction.

Authors and Affiliations

  • Institut I für Anatomie der Universität, Köln, Germany

    Doychin N. Angelov

Bibliographic Information

  • Book Title: Physical Rehabilitation of Paralysed Facial Muscles: Functional and Morphological Correlates

  • Authors: Doychin N. Angelov

  • Series Title: Advances in Anatomy, Embryology and Cell Biology

  • DOI: https://doi.org/10.1007/978-3-642-18120-7

  • Publisher: Springer Berlin, Heidelberg

  • eBook Packages: Biomedical and Life Sciences, Biomedical and Life Sciences (R0)

  • Copyright Information: The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer-Verlag GmbH, DE, part of Springer Nature 2011

  • Softcover ISBN: 978-3-642-18119-1Published: 26 February 2011

  • eBook ISBN: 978-3-642-18120-7Published: 21 February 2011

  • Series ISSN: 0301-5556

  • Series E-ISSN: 2192-7065

  • Edition Number: 1

  • Number of Pages: XII, 144

  • Number of Illustrations: 8 b/w illustrations, 14 illustrations in colour

  • Topics: Neurosciences

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