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

**Authors:** Zhen Yu Wong, Jeremias Schmidt, Frank W. de Jongh, Koen J.A.O. Ingels, Niels van Heerbeek, Sjaak Pouwels

PMC · DOI: 10.1016/j.jpra.2025.03.025 · JPRAS Open · 2025-04-02

## TL;DR

This review examines the role of brain plasticity in the Labbé procedure for facial reanimation and suggests the need for further research to improve treatment options for facial paralysis.

## Contribution

The paper reviews current understanding and highlights the need for further research on brain plasticity and alternative mechanisms in the Labbé procedure.

## Key findings

- Evidence supporting brain plasticity's role in the Labbé procedure is limited.
- Trigeminal-facial neurotisation is proposed as a potential alternative mechanism.
- More research is needed to improve treatment and early rehabilitation for facial paralysis.

## 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.

## Linked entities

- **Diseases:** facial paralysis (MONDO:0001835)

## Full text

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## References

19 references — full list in the complete paper: https://tomesphere.com/paper/PMC12166862/full.md

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Source: https://tomesphere.com/paper/PMC12166862