Advanced nerve repair restored facial motor control.
Electroneuronography showed 90% degeneration of facial nerve. High-resolution MRI identified 1.5cm nerve gap. Blink reflex testing evaluated trigeminal-facial pathway. Topognostic testing localized injury to tympanic segment.
Advanced nerve repair restored facial motor control.
Sural nerve cable grafts (three 6cm segments) bridged nerve gap. Epineurial repair under 40x magnification. Fibrin glue reinforced anastomosis. Intraoperative nerve stimulation confirmed distal stump viability.
Advanced nerve repair restored facial motor control.
Electroneuronography showed 90% degeneration of facial nerve. High-resolution MRI identified 1.5cm nerve gap. Blink reflex testing evaluated trigeminal-facial pathway. Topognostic testing localized injury to tympanic segment. Sural nerve cable grafts (three 6cm segments) bridged nerve gap. Epineurial repair under 40x magnification. Fibrin glue reinforced anastomosis. Intraoperative nerve stimulation confirmed distal stump viability. Serial EMG showed first voluntary motor units at 5 months. Mirror biofeedback prevented synkinesis. Facial retraining exercises improved smile symmetry. Botulinum toxin managed hypertonicity in unaffected side. House-Brackmann scale improved from Grade V to Grade II. Complete eye closure achieved, eliminating need for lubricants. Oral competence restored normal eating and drinking. Emotional expression symmetry confirmed by facial recognition software analysis.
A 32-year-old male patient was brought to Sushruta Hospital after a severe road traffic accident. He suffered multiple fractures in his leg along with extensive tissue damage, making mobility nearly impossible.
A young woman sustained second- and third-degree burns on her face and arms due to a domestic accident, causing both physical pain and emotional distress.
Emergency neuro-operative care provided with coordinated response and advanced imaging for rapid stabilization.
Complex mandibular reconstruction using microvascular techniques restored function and facial symmetry.
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