Primary and revision surgery (selective neurectomy) for facial hyperkinesia

Robert A Dobie, U. Fisch

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Symptomatic relief for hyperkinetic movements of facial musculature can be obtained by selective neurectomy of the peripheral divisions of the facial nerve with preservation of the frontal branch. Hemifacial spasm and blepharospasm represent the most common forms of facial hyperkinesia. Satisfactory results using the described technique on 191 patients were achieved in 74% of the patients with hemifacial spasm and blepharospasm in the follow-up period of one to 12 years. In hemifacial spasm, 80% were relieved after revision surgery. There were no major postoperative complications. Minor complications included insufficient lid closures in 1.5% of the patients and delayed wound healing with minor salivary fistulas that closed spontaneously in 7% of the patients. Resection of all fibers innervating the orbicularis oculi muscle is essential in preventing recurrence.

Original languageEnglish (US)
Pages (from-to)154-163
Number of pages10
JournalArchives of Otolaryngology
Volume112
Issue number2
StatePublished - 1986
Externally publishedYes

Fingerprint

Hyperkinesis
Hemifacial Spasm
Reoperation
Blepharospasm
Facial Nerve
Wound Healing
Fistula
Recurrence
Muscles

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Primary and revision surgery (selective neurectomy) for facial hyperkinesia. / Dobie, Robert A; Fisch, U.

In: Archives of Otolaryngology, Vol. 112, No. 2, 1986, p. 154-163.

Research output: Contribution to journalArticle

Dobie, Robert A ; Fisch, U. / Primary and revision surgery (selective neurectomy) for facial hyperkinesia. In: Archives of Otolaryngology. 1986 ; Vol. 112, No. 2. pp. 154-163.
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