How does it work?
The masseteric nerve is a nerve that goes to one of the chewing muscles which sits along the jaw line. In this operation, one of the branches of the masseteric nerve is connected to one of the smile branches of the facial nerve which then helps to reactivate the smile muscles. As the nerves travel to their new location in the muscles of the face, patients may experience some slight tingling sensations.
After several months, patients will notice that when they bring their teeth together, the corner of the mouth starts to lift up. With targeted expert facial physiotherapy, and regular exercises, patients can achieve a smile, and some patients will find that the smile can be more easily activated as time and training go on.
What does the surgery involve?
This surgery will be discussed in detail with your surgeon well prior to the date of your operation. The surgery occurs in a hospital, and you will stay overnight in the facility.
Surgery is performed under a general anaesthetic, through a cut in the skin that runs just in front of the ear, and the scar generally heals well and is quite inconspicuous after a few months. During your operation, the surgeon will use specialised equipment to find both the facial nerve branches that control smile and facial expression on the paralysed side, as well as the Masseteric nerve – these two nerves are sewn together, and after 3 to 6 months patients will start to see movement in their smile muscles.
How do I find out more?
Speak to your doctor about finding a specialist that performs facial reanimation surgeries. You may also be interested in other online resources that support patients with facial paralysis such as FacialPalsyUK.com