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Facial Nerve Reconstruction With Concurrent Masseteric Nerve Transfer and Cable Grafting
- Source :
- JAMA Facial Plastic Surgery. 18:335-359
- Publication Year :
- 2016
- Publisher :
- Mary Ann Liebert Inc, 2016.
-
Abstract
- Reconstruction of the facial nerve after radical parotidectomy is commonly performed with cable grafting, which is associated with slow recovery of nerve function and synkinesis.To describe facial nerve reconstruction after radical parotidectomy using concurrent masseteric nerve transfer and cable grafting.This retrospective medical record review at a tertiary referral hospital included 9 patients who underwent concurrent masseteric nerve transfer and cable grafting for facial nerve reconstruction performed by a single surgeon from January 1, 2014, to October 31, 2015. Final follow-up was completed on March 14, 2016.Improvement in resting facial symmetry and oral commissure excursion and synkinesis.Nine patients (6 women; mean age, 62.6 years; age range, 51-73 years) underwent immediate facial nerve reconstruction after radical parotidectomy using concurrent cable grafting and masseteric nerve transposition. All patients had return of oral commissure motion within 2 to 7 months after surgery with good excursion and minimal synkinesis.Masseteric nerve transposition can be combined with cable grafting to improve outcomes in facial rehabilitation after radical parotidectomy.4.
- Subjects :
- Male
medicine.medical_specialty
Grafting (decision trees)
Facial Paralysis
Surgical Flaps
Radical parotidectomy
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
medicine
Humans
030223 otorhinolaryngology
Nerve Transfer
Aged
Retrospective Studies
Masseter Muscle
business.industry
Masseteric nerve
Parotidectomy
Anatomy
Middle Aged
Plastic Surgery Procedures
medicine.disease
Facial nerve
Parotid Neoplasms
Surgery
Transplantation
Facial Nerve
Treatment Outcome
Synkinesis
030220 oncology & carcinogenesis
Female
business
Subjects
Details
- ISSN :
- 21686092 and 21686076
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- JAMA Facial Plastic Surgery
- Accession number :
- edsair.doi.dedup.....a6cd3df5ca8de4d3c9a653a4b9632488