JAMA facial plastic surgery · 2016
Facial Nerve Reconstruction With Concurrent Masseteric Nerve Transfer and Cable Grafting.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Owusu James A, Truong Leni, Kim Jennifer C
Аннотация
IMPORTANCE: 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.
OBJECTIVE: To describe facial nerve reconstruction after radical parotidectomy using concurrent masseteric nerve transfer and cable grafting.
DESIGN, SETTING, AND PARTICIPANTS: 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.
MAIN OUTCOMES AND MEASURES: Improvement in resting facial symmetry and oral commissure excursion and synkinesis.
RESULTS: 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.
CONCLUSIONS AND RELEVANCE: Masseteric nerve transposition can be combined with cable grafting to improve outcomes in facial rehabilitation after radical parotidectomy.
LEVEL OF EVIDENCE: 4.
OBJECTIVE: To describe facial nerve reconstruction after radical parotidectomy using concurrent masseteric nerve transfer and cable grafting.
DESIGN, SETTING, AND PARTICIPANTS: 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.
MAIN OUTCOMES AND MEASURES: Improvement in resting facial symmetry and oral commissure excursion and synkinesis.
RESULTS: 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.
CONCLUSIONS AND RELEVANCE: Masseteric nerve transposition can be combined with cable grafting to improve outcomes in facial rehabilitation after radical parotidectomy.
LEVEL OF EVIDENCE: 4.