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Facial Nerve Reconstruction with Nerve Graft following Ablative Parotid Surgery / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery ; : 495-500, 1999.
Article in Korean | WPRIM | ID: wpr-651875
ABSTRACT
BACKGROUND AND

OBJECTIVE:

Sacrifice of the facial nerve may be unavoidable during parotid resections for malignancy. In these cases, facial nerve reconstruction is helpful to minimize postoperative facial dysfunction. Many surgical techniques have been described to improve the dysfunction of facial nerve but immediate nerve suture, or grafting if direct suture is not possible, achieves the best results and allows maximal return of function. MATERIALS AND

METHODS:

We retrospectively studied 8 patients with parotid malignancies undergoing ablative parotid surgery with sacrifice of the seventh cranial nerve and facial nerve reconstruction with interposition graft between 1992 and 1997. They had been followed up for at least 6 months. Seven patients were reconstructed with simple interposition graft and the other was reconstructed with end-to-side facial-hypoglossal interposition graft. All the patients were treated with adjuvant radiotherapy. Each patient was evaluated on the basis of facial symmetry, eye closure and smile by means of photograph taken on the follow-up visit.

RESULT:

Facial symmetry, eye closure, and smile were improved satisfactorily in five, six, and four patients respectively. Recovery of patients who have had preoperative facial paralysis exhibited rather poor results.

CONCLUSION:

Nerve grafting performed immediately after resection of the tumor can provide a significant improvement of function in patients with sacrifice of the facial nerve.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Parotid Gland / Sutures / Retrospective Studies / Follow-Up Studies / Radiotherapy, Adjuvant / Transplants / Facial Nerve / Facial Paralysis Type of study: Observational study / Prognostic study Limits: Humans Language: Korean Journal: Korean Journal of Otolaryngology - Head and Neck Surgery Year: 1999 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Parotid Gland / Sutures / Retrospective Studies / Follow-Up Studies / Radiotherapy, Adjuvant / Transplants / Facial Nerve / Facial Paralysis Type of study: Observational study / Prognostic study Limits: Humans Language: Korean Journal: Korean Journal of Otolaryngology - Head and Neck Surgery Year: 1999 Type: Article