Comparison of Functional Results After Cross-Face Nerve Graft-, Spinal Accessory Nerve-, and Masseter Nerve-Innervated Gracilis for Facial Paralysis Reconstruction

Chuang, David Chwei‐Chin; Lu, Johnny Chuieng-Yi; Chang, Tommy Nai-Jen; Laurence, Vincent G.

doi:10.1097/sap.0000000000001327

Cited by 47 publications

(54 citation statements)

References 20 publications

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“…There are many controversies regarding the timing of facial nerve repair, 3,5 and many techniques were described 8–10 for the reconstruction of the facial nerve defects after parotidectomy. 11–13…”

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confidence: 99%

Nonmicrosurgical Grafting for Facial Nerve Branches with Permanent Sensational Functional Outcome

Ali

Sheikh

2019

Plastic and Reconstructive Surgery - Global Open

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Summary: A 49-year-old man underwent intraoperatively modified procedure from superficial to radical parotidectomy with excision of the facial nerve 4 branches, temporal, zygomatic, buccal, and mandibular. We have dissected and harvested the branches of the great auricular nerve to repair the defects of the temporal, zygomatic, buccal, and mandibular nerves without microsurgery aid. The aims of the repair were just to mark the nerve endings, to try autologous grafting, and to avoid neuroma(s) formation, although neuroma(s) formations from motor nerves are rare. We did an immediate temporary nonmicrosurgical nerve grafting, and we have sutured each nerve anastomosis by 2–3 stitches of Prolene 6–0. We have observed facial nerve branches’ recovery on the second month, even with radiation therapy, and then gradually more improvements on the third month and then on the sixth month of the follow-up. Finally, the procedure results in permanent sensational functional outcome after 1 year. Because we did not plan a microsurgical repair, this case report does not support any intended nonmicrosurgical procedures for facial nerve repair, but it raises questions for laboratory and animal investigations about the size of Prolene we have used, grip repair taking the epineurium and fascicle in mass closure, and the positive fast functional results. In surgical environments where microscope or microinstruments are lacking, one can still perform primary nerve grafting.

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confidence: 99%

Nonmicrosurgical Grafting for Facial Nerve Branches with Permanent Sensational Functional Outcome

Ali

Sheikh

2019

Plastic and Reconstructive Surgery - Global Open

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“…In the classic two-stage gracilis functioning free muscle transplantation with cross-facial nerve graft, as some authors have noted, the lip movement in the classically-performed procedure is often slow to regain, and the range of movement is frequently limited compared to the ipsilateral masseteric nerve as the donor. Moreover, the one-stage gracilis functioning free muscle transplantation with ipsilateral masseteric nerve also reduced surgical time [15,17,18]. In this study, the time after surgery to the commencement of oral commissure lip movement in the paralyzed side was rapid, beginning at 2.5 months on average.…”

Section: Discussionmentioning

confidence: 70%

Dynamic Reanimation of Smile in Facial Paralysis With Gracilis Functioning Free Muscle Flap Innervated By Masseteric Nerve: The First Vietnamese Series

Bui¹,

Goh²,

Vu³

2019

IMJ

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“…Contrastingly, while masseteric nerve transfer can achieve a more rapid and consistent result, it suffers from being unable to restore spontaneous smile (Oh et al, 2019). Finally, the spinal accessory nerve transfer requires additional training to entrain smile with shoulder movement, and the presence of an additional scar on the neck is inevitable (Chuang et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Holistic reconstruction of mandible defect, lower lip and chin sensation, and smile reanimation in an advanced gum cancer patient: A case report

et al. 2020

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Facial deformity, facial paralysis, and sensory loss are inevitable after some head and neck tumor resection and reconstruction, especially in high stage cancer. To overcome these obstacles, we present a case of T4a gum cancer patient (41‐year‐old) who received holistic reconstruction of the mandible defect via an osteo‐peroneal‐artery‐perforator combined flap for defect coverage and cross‐mental nerve graft for lower lip and chin sensation at the primary stage, followed by ipsilateral facial nerve (lower trunk) innervated gracilis functioning free muscle transplantation for facial reanimation and correction of the sunken face 3 years later. After 4.5 years of follow‐up, the patient was satisfied with his appearance, and obtained a spontaneous and symmetrical smile without sensory deficit. This experience showed a possible solution to the reconstruction for complicated head and neck cancer patients.

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Comparison of Functional Results After Cross-Face Nerve Graft-, Spinal Accessory Nerve-, and Masseter Nerve-Innervated Gracilis for Facial Paralysis Reconstruction

Cited by 47 publications

References 20 publications

Nonmicrosurgical Grafting for Facial Nerve Branches with Permanent Sensational Functional Outcome

Nonmicrosurgical Grafting for Facial Nerve Branches with Permanent Sensational Functional Outcome

Dynamic Reanimation of Smile in Facial Paralysis With Gracilis Functioning Free Muscle Flap Innervated By Masseteric Nerve: The First Vietnamese Series

Holistic reconstruction of mandible defect, lower lip and chin sensation, and smile reanimation in an advanced gum cancer patient: A case report

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