Facial Nerve Graft in Parotid Malignancy.
- Author:
Geon CHOI
1
;
Hyo Yeol KIM
;
Dong Hee YOO
;
Kwang Yoon JUNG
;
Jong Ouck CHOI
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Parotid cancer;
Cable graft;
Facial nerve sacrifice;
Postoperative radiotherapy
- MeSH:
Facial Nerve*;
Humans;
Parotid Neoplasms;
Radiotherapy;
Transplants*
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1997;40(3):417-421
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Surgical extirpation of parotid cancer frequently results in sacrifice of the facial nerve. In each case when sacrifice of nerve is necessary, immediate nerve repair with cable graft is preferred. However, controversy continues over the effects of postoperative radiotherapy on facial nerve graft function. Six patients with parotid cancer who had extensive resection with sacrifice of the seventh nerve and primary autogenous cable graft repair were reviewed. Five of six patients had good to excellent dynamic function. Three of four patient who were treated with postoperative radiotherapy had good to excellent function. Immediate nerve grafting should be used even when postoperative radiotherapy is planned.