Brain Plasticity and the Labbé Procedure: Where do we stand?

ABSTRACT: The Labbé procedure is a recognised technique for facial reanimation in patients with facial paralysis (FP). Although it was initially believed that brain plasticity plays a crucial role in the success of this procedure, the evidence supporting this mechanism is limited. This review provid...

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Main Authors: Zhen Yu Wong, Jeremias Schmidt, Frank W. de Jongh, Koen J.A.O. Ingels, Niels van Heerbeek, Sjaak Pouwels
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:JPRAS Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352587825000658
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author Zhen Yu Wong
Jeremias Schmidt
Frank W. de Jongh
Koen J.A.O. Ingels
Niels van Heerbeek
Sjaak Pouwels
author_facet Zhen Yu Wong
Jeremias Schmidt
Frank W. de Jongh
Koen J.A.O. Ingels
Niels van Heerbeek
Sjaak Pouwels
author_sort Zhen Yu Wong
collection DOAJ
description ABSTRACT: The Labbé procedure is a recognised technique for facial reanimation in patients with facial paralysis (FP). Although it was initially believed that brain plasticity plays a crucial role in the success of this procedure, the evidence supporting this mechanism is limited. This review provides an overview of brain plasticity and its potential application in the Labbé procedure. Additionally, the possibility of trigeminal-facial neurotisation as an alternative mechanism is discussed. Further research is needed to explore the mechanisms to improve the treatment options and enhance early rehabilitation for individuals with FP.
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spelling doaj-art-d91aa6fc15ec4c718ac74d5f11e0014f2025-08-20T03:13:29ZengElsevierJPRAS Open2352-58782025-06-014450651010.1016/j.jpra.2025.03.025Brain Plasticity and the Labbé Procedure: Where do we stand?Zhen Yu Wong0Jeremias Schmidt1Frank W. de Jongh2Koen J.A.O. Ingels3Niels van Heerbeek4Sjaak Pouwels5Department of General Surgery, Nottingham City Hospital, Nottingham, United KingdomDepartment of Plastic, Reconstructive and Aesthetic Surgery, Helios Klinikum Berlin-Buch, Berlin, GermanyDepartment of Otorhinolaryngology and Head & Neck Surgery, Radboudumc, Nijmegen, The NetherlandsDepartment of Otorhinolaryngology and Head & Neck Surgery, Radboudumc, Nijmegen, The NetherlandsDepartment of Otorhinolaryngology and Head & Neck Surgery, Radboudumc, Nijmegen, The NetherlandsDepartment of Surgery, Marien Hospital Herne, University Hospital of Ruhr University Bochum, Herne, NRW, Germany; Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital Tilburg, The Netherlands; Corresponding author: Dr. mult. Sjaak Pouwels, Department of Surgery, Marien Hospital Herne, University Hospital of Ruhr University Bochum, Hölkeskampring 40, 44625, Herne, NRW, Germany.ABSTRACT: The Labbé procedure is a recognised technique for facial reanimation in patients with facial paralysis (FP). Although it was initially believed that brain plasticity plays a crucial role in the success of this procedure, the evidence supporting this mechanism is limited. This review provides an overview of brain plasticity and its potential application in the Labbé procedure. Additionally, the possibility of trigeminal-facial neurotisation as an alternative mechanism is discussed. Further research is needed to explore the mechanisms to improve the treatment options and enhance early rehabilitation for individuals with FP.http://www.sciencedirect.com/science/article/pii/S2352587825000658Labbé procedureFacial reanimation surgeryFacial palsyPeripheral facial palsyBrain plasticity, laterality
spellingShingle Zhen Yu Wong
Jeremias Schmidt
Frank W. de Jongh
Koen J.A.O. Ingels
Niels van Heerbeek
Sjaak Pouwels
Brain Plasticity and the Labbé Procedure: Where do we stand?
JPRAS Open
Labbé procedure
Facial reanimation surgery
Facial palsy
Peripheral facial palsy
Brain plasticity, laterality
title Brain Plasticity and the Labbé Procedure: Where do we stand?
title_full Brain Plasticity and the Labbé Procedure: Where do we stand?
title_fullStr Brain Plasticity and the Labbé Procedure: Where do we stand?
title_full_unstemmed Brain Plasticity and the Labbé Procedure: Where do we stand?
title_short Brain Plasticity and the Labbé Procedure: Where do we stand?
title_sort brain plasticity and the labbe procedure where do we stand
topic Labbé procedure
Facial reanimation surgery
Facial palsy
Peripheral facial palsy
Brain plasticity, laterality
url http://www.sciencedirect.com/science/article/pii/S2352587825000658
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AT koenjaoingels brainplasticityandthelabbeprocedurewheredowestand
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