James A Owusu1, Leni Truong2, Jennifer C Kim2. 1. Department of Otorhinolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor2Department of Otorhinolaryngology-Head and Neck Surgery, University of Texas Health Sciences Center at Houston. 2. Department of Otorhinolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor.
Abstract
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.
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.
Authors: Jacqueline J Greene; Mark T McClendon; Nicholas Stephanopoulos; Zaida Álvarez; Samuel I Stupp; Claus-Peter Richter Journal: J Tissue Eng Regen Med Date: 2018-05-16 Impact factor: 3.963
Authors: María Sánchez-Ocando; Javier Gavilán; Julio Penarrocha; Teresa González-Otero; Susana Moraleda; José María Roda; Luis Lassaletta Journal: Eur Arch Otorhinolaryngol Date: 2019-09-19 Impact factor: 2.503
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