Title: Free Vascularized Nerve Grafting for Immediate Facial Nerve Reconstruction
Abstract: The LaryngoscopeVolume 115, Issue 2 p. 331-336 Article Free Vascularized Nerve Grafting for Immediate Facial Nerve Reconstruction Yoshihiro Kimata MD, Corresponding Author Yoshihiro Kimata MD Division of Plastic and Reconstructive Surgery and Head and Neck Surgery, National Cancer Center Hospital East, Chiba, Japan.Yoshihiro Kimata, MD, Division of Plastic and Reconstructive Surgery and Head and Neck Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba 277-8577, Japan.Search for more papers by this authorMinoru Sakuraba MD, Minoru Sakuraba MD Division of Plastic and Reconstructive Surgery and Head and Neck Surgery, National Cancer Center Hospital East, Chiba, Japan.Search for more papers by this authorShigeyuki Hishinuma MD, Shigeyuki Hishinuma MD Division of Plastic and Reconstructive Surgery and Head and Neck Surgery, National Cancer Center Hospital East, Chiba, Japan.Search for more papers by this authorSatoshi Ebihara MD, Satoshi Ebihara MD Division of Plastic and Reconstructive Surgery and Head and Neck Surgery, National Cancer Center Hospital East, Chiba, Japan.Search for more papers by this authorRyuichi Hayashi MD, Ryuichi Hayashi MD Division of Plastic and Reconstructive Surgery and Head and Neck Surgery, National Cancer Center Hospital East, Chiba, Japan.Search for more papers by this authorTakahiro Asakage MD, Takahiro Asakage MD Division of Plastic and Reconstructive Surgery and Head and Neck Surgery, National Cancer Center Hospital East, Chiba, Japan.Search for more papers by this author Yoshihiro Kimata MD, Corresponding Author Yoshihiro Kimata MD Division of Plastic and Reconstructive Surgery and Head and Neck Surgery, National Cancer Center Hospital East, Chiba, Japan.Yoshihiro Kimata, MD, Division of Plastic and Reconstructive Surgery and Head and Neck Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba 277-8577, Japan.Search for more papers by this authorMinoru Sakuraba MD, Minoru Sakuraba MD Division of Plastic and Reconstructive Surgery and Head and Neck Surgery, National Cancer Center Hospital East, Chiba, Japan.Search for more papers by this authorShigeyuki Hishinuma MD, Shigeyuki Hishinuma MD Division of Plastic and Reconstructive Surgery and Head and Neck Surgery, National Cancer Center Hospital East, Chiba, Japan.Search for more papers by this authorSatoshi Ebihara MD, Satoshi Ebihara MD Division of Plastic and Reconstructive Surgery and Head and Neck Surgery, National Cancer Center Hospital East, Chiba, Japan.Search for more papers by this authorRyuichi Hayashi MD, Ryuichi Hayashi MD Division of Plastic and Reconstructive Surgery and Head and Neck Surgery, National Cancer Center Hospital East, Chiba, Japan.Search for more papers by this authorTakahiro Asakage MD, Takahiro Asakage MD Division of Plastic and Reconstructive Surgery and Head and Neck Surgery, National Cancer Center Hospital East, Chiba, Japan.Search for more papers by this author First published: 03 January 2009 https://doi.org/10.1097/01.mlg.0000154753.32174.24Citations: 37Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Objectives/Hypothesis: To obtain better functional results after reconstruction to treat facial palsy in the patients with preoperative and intraoperative factors that might inhibit functional recovery, the authors have used free vascularized nerve grafts to immediately reconstruct severed facial nerves. Study Design: The indications for vascularized nerve grafts were 1) scarred recipient bed attributable to previous operations, 2) a history of previous irradiation at the wound, 3) facial skin defects over the nerve graft after tumor ablation, 4) patient age greater than 60 years, and 5) preoperative facial palsy. Methods: Four types of free vascularized nerves were used. Functional recovery after reconstruction could be assessed with two facial nerve grading systems.Ten patients who underwent immediate reconstruction of severed facial nerve after ablative surgery of malignant tumors of the parotid gland were reviewed. Results: Functional recovery after reconstruction could be assessed with the House-Brackmann grading system and a 40-point grading system in 6 of the 10 patients after a mean follow-up period of 29.8 months (range, 10–60 mo). Results with the House-Brackmann system were grade II in 1 patient, grade III in 4 patients, and grade IV in 1 patient; scores on the 40-point grading system were 20 in 1 patient, 22 in 3 patients, 24 in 1 patient, and 28 in 1 patient. Conclusion: The study results indicated that muscle movement recovers satisfactorily after free vascularized nerve grafting. Although a study comparing vascularized nerve grafts and conventional nerve grafts would be necessary to confirm the superiority of vascularized nerve grafts, free vascularized nerve grafts are effective for immediate reconstruction of the severed facial nerve in patients with preoperative and intraoperative factors that might inhibit functional recovery. Citing Literature Volume115, Issue2February 2005Pages 331-336 RelatedInformation
Publication Year: 2005
Publication Date: 2005-02-01
Language: en
Type: article
Indexed In: ['crossref', 'pubmed']
Access and Citation
Cited By Count: 52
AI Researcher Chatbot
Get quick answers to your questions about the article from our AI researcher chatbot