By Doychin N. Angelov,Orlando Guntinas-Lichius,Konstantin Wewetzer,Wolfram Neiss,Michael Streppel
Facial nerve surgical procedure necessarily results in partial pareses, abnormally linked routine and pathologically altered reflexes. the cause of this "post-paralytic syndrome" is the misdirected reinnervation of pursuits, which is composed of 2 significant elements. First, as a result of malfunctioning axonal suggestions, a muscle will get reinnervated through a "foreign" axon, that has been misrouted alongside a "wrong" fascicle. moment, the supernumerary collateral branches rising from all transected axons at the same time innervate opposed muscle groups and reason critical impairment in their coordinated task. because it is rarely attainable to persuade the 1st significant part and enhance the counsel of numerous hundreds of thousands axons, the authors focused on the second one significant part and attempted to lessen the collateral axonal branching.
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