BACKGROUND: There is much controversy regarding the effect of radiotherapy on facial nerve regeneration. However, the effect of brachytherapy has not been studied. METHODS: Fifty-three patients underwent total parotidectomy of which 13 were radical with immediate facial nerve repair with sural nerve grafts. Six patients (group 1) did not receive adjuvant treatment whereas 7 patients (group 2) received postoperative brachytherapy plus radiotherapy. Functional outcomes were compared using Facial Clima. RESULTS: Mean percentage of blink recovery was 92.6 ± 4.2 for group 1 and 90.7 ± 5.2 for group 2 (p = .37). Mean percentage of commissural excursion restoration was 78.1 ± 3.5 for group 1 and 74.9 ± 5.9 for group 2 (p = .17). Mean time from surgery to first movement was 5.7 ± 0.9 months for group 1 and 6.3 ± 0.5 months for group 2 (p = .15). CONCLUSION: Brachytherapy plus radiotherapy does not affect the functional outcomes of immediate facial nerve repair with nerve grafts.
BACKGROUND: There is much controversy regarding the effect of radiotherapy on facial nerve regeneration. However, the effect of brachytherapy has not been studied. METHODS: Fifty-three patients underwent total parotidectomy of which 13 were radical with immediate facial nerve repair with sural nerve grafts. Six patients (group 1) did not receive adjuvant treatment whereas 7 patients (group 2) received postoperative brachytherapy plus radiotherapy. Functional outcomes were compared using Facial Clima. RESULTS: Mean percentage of blink recovery was 92.6 ± 4.2 for group 1 and 90.7 ± 5.2 for group 2 (p = .37). Mean percentage of commissural excursion restoration was 78.1 ± 3.5 for group 1 and 74.9 ± 5.9 for group 2 (p = .17). Mean time from surgery to first movement was 5.7 ± 0.9 months for group 1 and 6.3 ± 0.5 months for group 2 (p = .15). CONCLUSION: Brachytherapy plus radiotherapy does not affect the functional outcomes of immediate facial nerve repair with nerve grafts.
Authors: Orlando Guntinas-Lichius; Carl E Silver; Jovanna Thielker; Manuel Bernal-Sprekelsen; Carol R Bradford; Remco De Bree; Luis P Kowalski; Kerry D Olsen; Miquel Quer; Alessandra Rinaldo; Juan R Rodrigo; Alvaro Sanabria; Ashok R Shaha; Robert P Takes; Vincent Vander Poorten; Peter Zbären; Alfio Ferlito Journal: Eur Arch Otorhinolaryngol Date: 2018-09-28 Impact factor: 2.503
Authors: Nicholas B Langhals; Melanie G Urbanchek; Amrita Ray; Michael J Brenner Journal: Curr Opin Otolaryngol Head Neck Surg Date: 2014-08 Impact factor: 2.064
Authors: G Nina Lu; Mark R Villwock; Clinton D Humphrey; J David Kriet; Andrés M Bur Journal: JAMA Facial Plast Surg Date: 2019-01-01 Impact factor: 4.611