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Functional Outcomes of Multiple Sural Nerve Grafts for Facial Nerve Defects after Tumor-Ablative Surgery

Authors
 Myung Chul Lee  ;  Dae Hee Kim  ;  Yeo Reum Jeon  ;  Dong Kyun Rah  ;  Dae Hyun Lew  ;  Eun Chang Choi  ;  Won Jai Lee 
Citation
 Archives of Plastic Surgery, Vol.42(4) : 461-468, 2015 
Journal Title
 Archives of Plastic Surgery 
ISSN
 2234-6163 
Issue Date
2015
Abstract
BACKGROUND: Functional restoration of the facial expression is necessary after facial nerve resection to treat head and neck tumors. This study was conducted to evaluate the functional outcomes of patients who underwent facial nerve cable grafting immediately after tumor resection. METHODS: Patients who underwent cable grafting from April 2007 to August 2011 were reviewed, in which a harvested branch of the sural nerve was grafted onto each facial nerve division. Twelve patients underwent facial nerve cable grafting after radical parotidectomy, total parotidectomy, or schwannoma resection, and the functional facial expression of each patient was evaluated using the Facial Nerve Grading Scale 2.0. The results were analyzed according to patient age, follow-up duration, and the use of postoperative radiation therapy. RESULTS: Among the 12 patients who were evaluated, the mean follow-up duration was 21.8 months, the mean age at the time of surgery was 42.8 years, and the mean facial expression score was 14.6 points, indicating moderate dysfunction. Facial expression scores were not influenced by age at the time of surgery, follow-up duration, or the use of postoperative radiation therapy. CONCLUSIONS: The results of this study indicate that facial nerve cable grafting using the sural nerve can restore facial expression. Although patients were provided with appropriate treatment, the survival rate for salivary gland cancer was poor. We conclude that immediate facial nerve reconstruction is a worthwhile procedure that improves quality of life by allowing the recovery of facial expression, even in patients who are older or may require radiation therapy.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141087
DOI
10.5999/aps.2015.42.4.461
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실)
Yonsei Authors
나동균(Rah, Dong Kyun)
유대현(Lew, Dae Hyun)
이명철(Lee, Myung Chul)
이원재(Lee, Won Jai)
전여름(Jeon, Yeo Reum)
최은창(Choi, Eun Chang)
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