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Selective Neurolysis

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Selective neurolysis, also referred to as selective neurectomy, is an effective solution for individuals grappling with the effects of Bell’s palsy and synkinesis. Dr. DeVictor offers this procedure to restore natural facial expression and functionality and help you with essential activities like speech, chewing, smiling, and everyday functioning.

Regain Control
Over Facial Expressions

Synkinesis is a condition often associated with Bell’s palsy, characterized by the involuntary and simultaneous contraction of facial muscles. This means that when an individual tries to smile, blink, or perform other facial movements, unrelated muscles can engage, leading to unnatural expressions. The consequences of synkinesis can be emotionally taxing, as it affects one’s ability to convey genuine emotions and engage in regular social interactions. It can also impede essential functions like eating and speaking.

Selective neurolysis involves precisely severing specific facial nerves responsible for unwanted muscle contractions while sparing those essential for normal facial functions. By disconnecting the errant neural pathways responsible for synkinesis, selective neurolysis allows individuals to regain better control over their facial movements, enabling more natural and expressive smiles and facial gestures. This procedure can also be combined with selective myectomy to correct extreme muscle tightness or spasms.

Benefits of Selective Neurolysis:

  • Improved control over facial expressions
  • Enhanced natural-looking smiles and facial movements
  • Increased self-confidence and improved self-esteem
  • Better ability to convey genuine emotions
  • Restored functionality for activities like eating and speaking
  • Reduction in the emotional and social burden of synkinesis
  • Noticeable results within a few days
  • Relatively short recovery time
  • Long-lasting results

Recovery After Selective Neurolysis

In the immediate postoperative period, you may experience swelling, bruising, and discomfort around the surgical site. These are typical side effects and should gradually subside over the following weeks. Dr. DeVictor will provide you with guidelines for managing pain and discomfort. You may be advised to avoid strenuous activities and facial movements during the initial healing phase to ensure optimal outcome. As your nerves heal and reestablish connections, you will begin to notice improvements in your facial control. Full recovery can take several months.

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Selective Neurolysis FAQs

Who is a suitable candidate for selective neurolysis?

Candidates for selective neurolysis typically have conditions like Bell’s palsy and synkinesis, which cause involuntary facial muscle contractions. Your suitability for the procedure will be assessed by Dr. DeVictor during the consultation.

Is selective neurolysis a permanent solution?

Selective neurolysis can provide long-term relief from the symptoms of conditions like synkinesis. However, individual outcomes may vary, and it’s possible that some degree of muscle reinnervation or reconnection could occur over time.

Are there any risks or potential complications associated with selective neurolysis?

Like any surgical procedure, selective neurolysis carries some risks. These can include infection, scarring, nerve damage, or incomplete resolution of symptoms. However, serious complications are relatively rare, and Dr. DeVictor will take steps to minimize these risks.

Will there be visible scarring after selective neurolysis?

Selective neurolysis is designed to minimize scarring, and incisions are typically made in inconspicuous locations. However, some scarring may still occur, and its extent can vary from person to person. Your surgeon will provide instructions to help manage and reduce scarring.

Are there alternative treatments for synkinesis besides selective neurolysis?

Yes, there are alternative treatments for synkinesis, including physical therapy, Botox injections, and other surgeries. The choice of treatment depends on individual circumstances, and it’s essential to consult with Dr. DeVictor to determine the most suitable option for you.

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Schedule Your Consultation
With Dr. DeVictor

Dr. Sam DeVictor is a highly experienced medical professional with board certification in Otolaryngology-Head and Neck Surgery. If you’re considering selective neurolysis to address facial nerve disorders like synkinesis, Dr. DeVictor is here to guide you. Schedule your consultation with Dr. DeVictor to discuss your specific needs, evaluate your eligibility, and explore the right course of action for your condition. With his expertise, you can take confident steps toward regaining control over your facial expressions.

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