Home Facial Paralysis and Synkinesis Synkinesis Treatment  Selective Neurolysis (Neurectomy)

Selective Neurolysis

Offering excellent results in the field of selective dorsal neurectomy surgery, Dr. Be improves the quality of life of his patients with personalized treatment plans. In line with these excellent results, he achieves the desired results both psychologically and physically.

What is Selective Neurolysis Surgery?

The neurectomy procedure, also known as selective dorsal neurectomy surgery, is a surgical procedure used to reduce or eliminate unwanted facial contractions in patients with partial or permanent facial paralysis. The excessive contractions that occur in this method are realized by precisely stimulating certain points of the nerves that control the facial muscles. In this way, patients' facial expressions become more natural and symmetrical and pain is alleviated. This procedure is mostly performed on patients diagnosed with mild or moderate facial paralysis.

What is Selective Neurectomy Surgery?

Although it is often confused with Selective Neurolysis surgery, they are different surgeries that serve the same purpose. This is a procedure that is generally performed when the nerve is damaged or abnormally stimulated. In this procedure, the diseased nerve is completely or partially removed and the problems that the patient is currently experiencing are eliminated. In this way, the person can get rid of the pain and spasms in the facial area within seconds. This surgical procedure is usually applied to patients who have been diagnosed with severe facial paralysis as a result of the examinations.

How is Selective Dorsal Neurectomy Surgery Performed?

Contrary to popular belief, selective neurectomy surgery has a simple process. First, the nerves on the patient's face are analyzed in detail. As a result of these analyzes, the diseased nerve is identified and the diseased nerve cell is carefully and precisely stimulated and cut with special surgical instruments. Thus, excessive facial contractions are reduced and facial expressions become more natural. There may be a scar for a while after the procedure. There is no need to worry about this. With regular and proper wound care, you can get rid of postoperative scars in a short time.

Why Selective Dorsal Neurectomy is Used to Treat Synkinesia?

To talk about synkinesia treatment in general, synkinesis occurs as a result of the facial nerves making the wrong connections during the recovery phase of facial paralysis. To correct this, selective neurolysis surgery is performed. In this surgery, the dorsal root ganglion, one of the specific nerves in the spine, is cut or removed. After cutting this dorsal root ganglion, the symptoms of synkinesis are alleviated or completely eliminated by reducing excessive and involuntary contractions of the facial muscles. In this way, the person can have a healthier and more confident social life.

<h2id="headMC">Why is Selective Neurolysis Used in Bell's Palsy Treatment?

Bell's palsy is a congenital or acquired paralysis of the facial nerves. In the case of this nerve paralysis, the application of selective neurolysis treatment prevents overstimulation of the muscles in the area where the nerve is paralyzed or experiencing spasm. Thus, it reduces facial muscle weakness and helps normalize facial expression. At the same time, if selective neurolysis treatment is applied for bell palsy, the sensitive areas of the nerve can be focused more clearly and in detail. This leads to a complete cure of the disease.

Everything You Wondered About Selective Nerolysis and Selective Neurectomy

Does Selective Neurectomy or Selective Neurolysis Treatment Work?

Selective neurectomy and selective neurolysis surgery, which is a definitive and accurate solution for patients diagnosed with facial paralysis, is an effective procedure on patients. Because in both treatment procedures, diseased nerves are directly targeted. By reducing the pressure on these diseased nerves, involuntary facial contractions are stopped. However, in order for these treatments to provide a definitive solution, the nerves in the patient's facial area must be analyzed in detail. In this way, the degree of pressure on the nerves is accurately determined and the treatment procedure is determined accordingly. For example, if the facial nerve damage is minor, selective neurolysis would be more appropriate. However, if the facial nerve trauma is more severe, selective neurectomy surgery will be necessary.

How Do You Decide Which Nerves to Cut?

At this point, the patient's facial muscles and nerves are first examined in detail. Then, as a result of the examinations, it is determined which muscle and nerve endings on the patient's face have a problem and how big this problem is. In this way, the nerves to be cut are determined, the paralyzed nerve is carefully removed and the nerves are sutured from end to end with surgical sutures. In this way, the involuntary facial muscle contractions experienced by the patient are eliminated. You never need to worry at this point.

Does Selective Neurectomy Help Me Smile?

The selective neurectomy operation makes a great contribution to the patient's smile. Therefore, we can say that it is a great help in the patient's smile. It also eliminates involuntary contractions in the face.

Will Selective Neurectomies Help Fix My Twitching Eye?

The Selective Neurectomy procedure also relieves the twitching in the patient's eye to a great extent. This is because twitching in the eye area is caused directly by paralyzed nerves. If these paralyzed nerves are removed with the selective neurectomy procedure, it also improves the twitching in the eye area.

What are the Advantages of the Neurectomy Procedure?

The neurectomy procedure, which is one of the most preferred facial paralysis methods today, has many advantages for the person. The most important of these advantages is that the person becomes more self-confident and happy in his/her social life. Other advantages of selective dorsal neurectomy surgery are as follows;

  • Reducing or Eliminating Pain: Selective neurolysis surgery eliminates or reduces the root cause of pain by cutting or removing nerves. It is particularly effective in patients with networks caused by chronic facial paralysis.
  • Relief of Undesirable Symptoms: In general, selective neurolysis surgery can improve patients' quality of life by relieving involuntary muscle movements and pain, which are among the most common unwanted symptoms.
  • May Be Minimally Invasive:Some selective dorsal neurectomy procedures can be performed minimally invasively. This means less postoperative pain, faster recovery and less risk of complications.
  • Long Lasting Impact: A neurectomy procedure usually involves permanently stopping nerve conduction by cutting or removing the nerve. Symptoms can thus be controlled on a long-term basis.
  • Fast Results: With the potential to relieve pain or other symptoms, neurectomy procedures can provide quick and effective results in some patients.

Is Selective Neurolysis Available To Patients Of All Ages?

Involuntary contractions that occur after facial paralysis not only affect patients psychologically but also negatively affect their quality of life. For this reason, selective dorsal neurectomy surgery is performed for patients to live a better quality of life. It would be more appropriate to answer the following questions to understand whether you are the right candidate for selective neurolysis surgery.

  • Do involuntary contractions in the facial area negatively affect your quality of life?
  • Have you also suffered from temporary and permanent facial paralysis such as bell's palsy?
  • Do you want these contractions on your face to go away as soon as possible?

If you answered “yes” to two out of three questions, you are a suitable candidate for selective dorsal neurectomy surgery. For more detailed information on this subject, you can contact Dr. Be to find out if you are the right candidate for selective neurolysis treatment.

Cost of Neurectomy Surgery

Contrary to popular belief, the selective neurolysis technique is a very affordable procedure. For this reason, we recommend that you do a detailed research on the cost of selective neurolysis surgery. In this way, you can realize the cost of selective dorsal neurectomy in an affordable way.

Before and After Selective Neurolysis

You can view our selective neurolysis before and after gallery to see the results of the successful selective neurolysis surgery performed by Dr. Be.

Why Doctor Be in Selective Dorsal Neurectomy Surgery?

As one of the best facial paralysis treatment surgeons in Turkey, Dr. Be has extensive experience in selective dorsal neurectomy technique and at the same time offers the best and most perfect results to his patients by using the latest technology and methods. Thus, by prioritizing patient satisfaction, he has become one of the best facial paralysis treatment clinics in Turkey.

Frequently Asked Questions About Selective Neurolysis

Can Selective Neurolysis be Applied to Every Patient?

Selective neurolysis treatment may not be suitable for all patients. In particular, it should not be performed on pregnant women, patients with infections and those with serious bleeding disorders. Because the treatment may not give the desired results in patients with these conditions.

Is Selective Dorsal Neurectomy Surgery Safe?

Selective dorsal neurectomy operation is a very safe procedure and completely eliminates the facial paralysis experienced by the patient. Therefore, you can have selective dorsal neurectomy surgery with peace of mind.

Is Selective Neurolysis the Best Option for Treating Facial Paralysis Symptoms?

The patient's facial paralysis condition must be analyzed in depth in order to say anything clear about it. As a result of this analysis, we can then decide whether Selective Neurolysis is appropriate.


Selective Neurectomy Patient Patient Before-After


Before and After Selective Neurolysis

Before - Afters

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