Advances in Treating Facial Paralysis
Listen to a podcast with Dr. P. Daniel Knott and his discussion on facial paralysis. Click here.
Motor Nerve to the Vastus Lateralis
P. Daniel Knott
Facial nerve paralysis is a potentially devastating cranial nerve injury with both functional and psychological impact. Neural compromise following tumor resection or in cases of traumatic and iatrogenic injury can be treated in several ways. Direct anastomosis is the preferred treatment in cases of neurotmesis if there is sufficient length to provide a tension-free coaptation. If direct anastomosis is not possible, a cable graft spanning the interrupted segment is accomplished with an autologous nerve. Resection of malignant tumors affecting the facial nerve commonly results in large segments of neural discontinuity that may involve several branches of the facial nerve. Full PDF available.
Happy Birthday Facial Nerve
P. Daniel Knott
One of the worst most moments in early lives of children occurs when they awake the morning after their birthday and realize that 364 days separate them from their next birthday. The seemingly endless, yearlong wait that faces the unhappy child the day after his or her birthday is exactly the same "treatment" that we recommend to many of our patients with facial paralysis. As treating physicians, we likely fail to fully appreciate the isolation, sadness, and subtle but innumerable reminders of facial disability that fill each of those 364 days of our patients' lives. Full PDF available.
Simultaneous Anterolateral Thigh Flap and Temporalis Tendon Transfer to Optimize Facial Form and Function After Radical Parotidectomy
P. Daniel Knott
Parotidectomy is the treatment of choice for many benign and malignant salivary gland tumors, whether metastatic or primary, and is often considered for aggressive cutaneous and temporal bone malignant tumors. High-grade parotid and aggressive cutaneous malignant tumors of the head and neck with neurotropic spread, direct parotid invasion, or metastatic spread commonly necessitate total parotidectomy with facial nerve sacrifice. Full PDF available.
Sternocleidomastoid contour restoration: an added benefit of the anterolateral thigh free flap during facial reconstruction
Rahul Seth and P. Daniel Knott
To demonstrate the potential of the anterolateral thigh free flap for neck contour restoration. Full PDF available.