What is included in the monitoring and long-term follow-up of facial nerve repair?

Updated: Nov 28, 2018
  • Author: Tang Ho, MD, MSc; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Early follow-up relates to typical wound care. Long-term follow-up is very important. With most procedures, the results are delayed for several months to a year. In some cases, results are delayed for as long as 2 years, particularly with nerve transposition repairs. [8] For this reason, adjunctive procedures (eg, gold weight eyelid implant and brow lift) may be considered early.

If no improvement is observed 1 year after the repair, reexploration of the site of anastomosis is acceptable, and revision is performed if the repair is found to be inadequate. Another option is to consider adjunctive functional and cosmetic procedures or even alternative measures such as dynamic or static slings and free tissue transfer techniques.


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