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Results Of Immediate Facial Nerve Reconstruction In Patients Undergoing Parotid Tumour Resection
Haroon Ur Rashid1, Ishtiaq Ur Rehman1, Mamoon Rashid1
1Plastic Surgery Department, Shifa International Hospital, Islamabad, Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|September 20, 2019
Summary
Immediate facial nerve reconstruction after total parotidectomy using inter-positional nerve grafts shows promising functional recovery. This technique offers a reliable solution when primary nerve repair is not feasible.
Area of Science:
- Neurosurgery
- Plastic Surgery
- Otolaryngology
Background:
- Total parotidectomy often necessitates sacrifice of the facial nerve.
- Reconstruction of the sacrificed facial nerve is crucial for functional recovery.
Purpose of the Study:
- To evaluate the outcomes of immediate facial nerve reconstruction using inter-positional nerve grafts in patients undergoing total parotidectomy.
Main Methods:
- A prospective study included 22 patients undergoing total parotidectomy with facial nerve sacrifice.
- Inter-positional nerve grafts (sural or greater auricular) were used for reconstruction.
- Facial nerve function was assessed using the House and Brackmann grading system post-operatively.
Main Results:
- Sural nerve grafts were used in 54% and greater auricular nerve grafts in 45% of cases.
- Post-reconstruction grading included Grade V (4), Grade IV (7), Grade III (8), and Grade II (3).
Conclusions:
- Inter-positional nerve grafting is a simple and reliable technique for facial nerve reconstruction when primary repair is not possible due to nerve segment loss or tension.
- This method demonstrates good functional outcomes for facial nerve recovery.
