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Facial Reanimation, Bell's Palsy & Smile Surgery2021

Neurotization Preferences in Smile Reanimation: A Discrete Choice Experiment

Dusseldorp JR, Naunheim MR, Quatela O, Fortier E, Hadlock TA, Jowett N

Plast Reconstr Surg

What Is This Study About?

This study used a discrete choice experiment to determine surgeon preferences for nerve source selection during smile reanimation surgery. The research reveals how surgeons weigh trade-offs between different nerve donors—such as the masseter nerve versus the cross-face nerve graft.

Key Findings

  • Surgeons prefer the masseteric nerve for its reliability and faster recovery
  • Cross-face nerve grafts are valued for potentially more spontaneous smiles
  • Dual innervation (using both nerve sources) is increasingly favored for optimal results

What This Means for Patients

Understanding why surgeons choose specific nerve sources helps patients make informed decisions about their smile reanimation surgery and set realistic expectations.

Citation & Links

Citation: Dusseldorp JR, Naunheim MR, Quatela O, Fortier E, Hadlock TA, Jowett N. Plast Reconstr Surg. 2021 Sep 01; 148(3):407e-415e.

PMID: 34432695