Otolaryngology—Head & Neck Surgery

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Practice-Changing Medicine

Revision Cochlear Implant Surgery: Readying for a Growing Need

With careful planning and electrode selection, revisions offer renewed hearing for patients with device failure.

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Complex Case Spotlight

Multinerve Transfer Technique Improves Facial Reanimation

Enhanced Segmented Movement via Multiple Grafts

A new approach to facial reanimation developed by surgeons at NYU Langone Health connects distal branches of the facial nerve to multiple local and regional nerves. The technique is applicable for patients with abnormal nerve growth, such as those with Bell’s palsy, or patients with nerve loss whether due to a degenerative condition or prior surgery. Here, a patient demonstrates left facial paralysis possibly due to a genicular ganglion hemangioma.

Photo: NYU Langone Staff
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Up to Four Distinct Nerve Connections

The masseteric nerve is connected to the distal end of the midface division. The lower division of the facial nerve is connected to the hypoglossal nerve to animate the lower face. The ansa cervicalis is connected to the upper division of the face to give tone to the eye muscles. A cross-face nerve graft may be used to innervate the affected midface with input from the intact contralateral midface division.

IMAGE: Andrew Lee, MD, artist
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Rapid Functional Improvement

The nuanced reconstruction technique requires muscular transfer or transplant and takes longer than traditional facial reanimation techniques as each nerve is transferred and carefully grafted. However, surgeons have not observed significantly longer patient recovery times, with most patients experiencing some functional recovery 3–12 months after surgery.

PHOTO: NYU Langone Staff
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Facial Reanimation with Less Synkinesis

Patients benefit from facial reinnervation that enables specialized movement, with less synkinesis than traditional single-graft techniques. Here, the patient who experienced left facial paralysis demonstrates segmented movement made possible by the multigraft technique. Follow-up photos were taken two years post-surgery. Read The Full Article

PHOTO: NYU Langone Staff
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CME, Symposia & Events

Management of Patients with Voice, Swallowing and Airway Disorders

January 21, 2023

Virtual Webinar | 7:45 AM – 4:00 PM ET

Patients with voice and swallow-related complaints require a vast range of treatment modalities. This one-day course will focus on the didactic knowledge and practical experience needed to improve the practitioner’s knowledge base and diagnostic therapeutic accuracy. The program is a comprehensive review of the NYU Voice Center’s team approach for patients with voice, swallowing, and airway disorders, and will focus on common patient complaints and understanding of evidence-based care.

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