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Journal CME Article: Evidence-Based Practices in Facial Reanimation Surgery Video 4
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Video Transcription
Video Summary
The demonstration outlines a technique for harvesting the sural nerve. The patient is placed in a prone position, and an incision is made to locate the sural nerve between the lateral and medial heads of the gastrocnemius muscle. The nerve is tracked towards the popliteal fossa, identifying contributions from the tibial and peroneal nerves. A counter-incision allows for maximum nerve length for harvest. While harvesting, the sural nerve is isolated and removed using a tendon stripper. Finally, in cases like cross-facial nerve grafts, essential branches are identified for facial muscle stimulation.
Keywords
sural nerve harvest
prone position
gastrocnemius muscle
tendon stripper
cross-facial nerve graft
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