Facial Nerve Reconstruction With Concurrent Masseteric Nerve Transfer and Cable Grafting.

Facial Nerve Reconstruction With Concurrent Masseteric Nerve Transfer and Cable Grafting.

JAMA Facial Plast Surg. 2016 May 19;

Authors: Owusu JA, Truong L, Kim JC

Abstract
Importance: Reconstruction of the facial nerve after radical parotidectomy is commonly performed with cable grafting, which is associated with slow recovery of nerve function and synkinesis.
Objective: To describe facial nerve reconstruction after radical parotidectomy using concurrent masseteric nerve transfer and cable grafting.
Design, Setting, and Participants: This retrospective medical record review at a tertiary referral hospital included 9 patients who underwent concurrent masseteric nerve transfer and cable grafting for facial nerve reconstruction performed by a single surgeon from January 1, 2014, to October 31, 2015. Final follow-up was completed on March 14, 2016.
Main Outcomes and Measures: Improvement in resting facial symmetry and oral commissure excursion and synkinesis.
Results: Nine patients (6 women; mean age, 62.6 years; age range, 51-73 years) underwent immediate facial nerve reconstruction after radical parotidectomy using concurrent cable grafting and masseteric nerve transposition. All patients had return of oral commissure motion within 2 to 7 months after surgery with good excursion and minimal synkinesis.
Conclusions and Relevance: Masseteric nerve transposition can be combined with cable grafting to improve outcomes in facial rehabilitation after radical parotidectomy.
Level of Evidence: 4.

PMID: 27197116 [PubMed - as supplied by publisher]

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