Related Experiment Video
Updated: Mar 21, 2026
19:53
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
106.6K
Facial Nerve Reconstruction With Concurrent Masseteric Nerve Transfer and Cable Grafting
James A Owusu1, Leni Truong2, Jennifer C Kim2
1Department 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.
JAMA Facial Plastic Surgery
|May 20, 2016
Summary
Facial nerve reconstruction after parotidectomy improved with combined masseteric nerve transfer and cable grafting. This technique offers faster recovery and reduced synkinesis for better facial rehabilitation.
Area of Science:
- Neurosurgery
- Plastic Surgery
- Otolaryngology
Background:
- Reconstruction of the facial nerve after radical parotidectomy often uses cable grafting, leading to slow functional recovery and synkinesis.
- Improving facial nerve function and symmetry after parotidectomy is crucial for patient quality of life.
Purpose of the Study:
- To evaluate the efficacy of combining masseteric nerve transfer with cable grafting for facial nerve reconstruction following radical parotidectomy.
- To assess the functional outcomes, including facial symmetry, oral commissure excursion, and synkinesis, in patients undergoing this combined surgical approach.
Main Methods:
- Retrospective review of 9 patients who underwent radical parotidectomy and immediate facial nerve reconstruction using concurrent masseteric nerve transfer and cable grafting.
- Data collected included patient demographics, surgical procedure details, and functional outcomes assessed post-operatively.
Main Results:
- All 9 patients demonstrated return of oral commissure motion within 2 to 7 months post-surgery.
- The combined technique resulted in good oral commissure excursion and minimal synkinesis.
- Patients experienced improved resting facial symmetry and functional recovery.
Conclusions:
- Concurrent masseteric nerve transfer and cable grafting is an effective method for facial nerve reconstruction after radical parotidectomy.
- This combined approach can enhance facial rehabilitation outcomes, offering faster recovery and reduced synkinesis compared to traditional cable grafting alone.
