2017
DOI: 10.1177/2050313x17741825
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Free anterolateral thigh full-thickness skin flap with vascularized lateral femoral cutaneous nerve for the reconstruction of facial nerve and external auditory canal after the resection of facial nerve schwannoma

Abstract: The complex reconstruction of nerves and soft tissue in the head and neck region is still challenging, especially in cases requiring external auditory canal reconstruction with facial nerve reconstruction. We report a case of left facial schwannoma extending into the external auditory canal beyond the tympanic membrane with facial paralysis in which the reconstruction of both the facial nerve and external auditory canal was successfully performed using an anterolateral thigh flap as a super-thin full-thickness… Show more

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Cited by 2 publications
(3 citation statements)
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“…Primary facial nerve reconstruction with VNGs has previously been described in case reports or small case series combining soft tissue flaps (anterolateral thigh or sural flaps) and VNG using the sural nerve, the lateral femoral cutaneous nerve, the deep peroneal nerves, or the vastus lateralis motor nerves. [18][19][20][21][22][23][24][25][26] However, there are several advantages of the chimeric SD-LDVxN over these other flaps. The chimeric SD-LDVxN allows for osseous reconstruction, which is not possible with these other flaps.…”
Section: Discussionmentioning
confidence: 99%
“…Primary facial nerve reconstruction with VNGs has previously been described in case reports or small case series combining soft tissue flaps (anterolateral thigh or sural flaps) and VNG using the sural nerve, the lateral femoral cutaneous nerve, the deep peroneal nerves, or the vastus lateralis motor nerves. [18][19][20][21][22][23][24][25][26] However, there are several advantages of the chimeric SD-LDVxN over these other flaps. The chimeric SD-LDVxN allows for osseous reconstruction, which is not possible with these other flaps.…”
Section: Discussionmentioning
confidence: 99%
“…Previous studies which mainly consist of case reports or small case series describe different types of solutions for FN reconstruction combining soft tissue (anterolateral thigh or sural flaps) and vascularized nerve graft (VNG) using the sural nerve, the lateral femoral cutaneous nerve, the deep peroneal nerves, or the vastus lateralis motor nerves. 16,[20][21][22][23][24][25][26][27][28] However, SDVN flap has multiple advantages compared with the other proposed vascularized motor nerve donor sites. First of all, it is the most versatile and allows to harvest multiples soft tissue and osseous components on a single pedicle.…”
Section: Discussionmentioning
confidence: 99%
“…VNG also provides an optimal nutritional environment that accelerates the rate of axonal regeneration. [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] Moreover, recent evidence suggested that a motor nerve graft offers a faster and a more effective motor nerve rehabilitation compared with sensory nerve grafts. [9][10][11][12] In our series, all patients presented one or more inhibiting factors.…”
Section: Discussionmentioning
confidence: 99%