A novel method to reconstruct the complex facial nerve defect after extended parotidectomy with masseteric nerve and descending hypoglossal nerve.

IF 2.2 3区 医学 Q2 Dentistry
Wanlin Xu, Hao Lu, Wenjun Yang, Shengwen Liu
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Abstract

This study aims to present a novel technique for reconstructing complex facial nerve defects using the masseteric nerve and descending hypoglossal nerve. Here, we report a case involving a patient with locally advanced parotid malignancy who underwent extended parotidectomy with resection of the invaded facial nerve. Following tumor resection, the proximal end of the facial nerve was inaccessible, leading to the formation of multiple distal branch defects. Subsequently, we performed reconstruction of the complex facial nerve defect using the masseteric nerve for the zygomatic and upper buccal branches and the descending hypoglossal nerve for the lower buccal and submandibular branches. There were no significant operative or post-operative complications observed. Upon 18 months of follow-up, the facial function of the patient had been restored to House-Brackmann-III grade. In conclusion, this dual nerve transposition approach proves to be an effective method for reconstructing complex facial nerve defects subsequent to extended parotidectomy.

扩展腮腺切除术后重建复杂面神经缺损的新方法:颌面神经和舌下神经降支。
本研究旨在介绍一种利用颌面部神经和舌下神经降支重建复杂面神经缺损的新技术。在此,我们报告了一例局部晚期腮腺恶性肿瘤患者接受扩大腮腺切除术并切除受侵面神经的病例。肿瘤切除后,面神经近端无法进入,导致形成多个远端分支缺损。随后,我们利用颧神经和颊上神经的腮腺分支以及舌下神经的颊下分支和颌下分支重建了复杂的面神经缺损。手术和术后均未发现明显并发症。随访 18 个月后,患者的面部功能已恢复到 House-Brackmann-III 级。总之,这种双神经转位方法被证明是重建扩大腮腺切除术后复杂面神经缺损的有效方法。
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来源期刊
CiteScore
2.20
自引率
9.10%
发文量
305
期刊介绍: J Stomatol Oral Maxillofac Surg publishes research papers and techniques - (guest) editorials, original articles, reviews, technical notes, case reports, images, letters to the editor, guidelines - dedicated to enhancing surgical expertise in all fields relevant to oral and maxillofacial surgery: from plastic and reconstructive surgery of the face, oral surgery and medicine, … to dentofacial and maxillofacial orthopedics. Original articles include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. The journal is indexed in the main international databases and is accessible worldwide through the ScienceDirect and ClinicalKey Platforms.
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