Reconstruction of facial nerve defect in parotidectomy of parotid carcinoma using sternocleidomastoid muscle-great auricular nerve flap
- VernacularTitle:用带胸锁乳突肌瓣的耳大神经重建腮腺癌根治术缺损的面神经
- Author:
Zhao-Hui WANG
;
Chun-Hua LI
;
Jin CHEN
;
Wei WANG
;
- Publication Type:Journal Article
- Keywords:
Facial nerve;
Muscle flap;
Transplantation;
Microsurgery
- From:
Chinese Journal of Microsurgery
2006;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop the clinical application and the method for functional repair in fa- cial nerve defect in parotideetomy of parotid carainoma.Methods Defect of facial nerve in parotidectomy was repaired by transplantation of sternocleidomastoid muscle-great auricular nerve flap with anastomosis of great auricular nerve-facial nerve under microscope.Results Eight eases of facial nerve defect in parotid carcinoma were repaired by this method.The facial nerve function almost recovered and access to normal dur- ing 3 to 6 month after operation in this series.6 of 8 patients achieved a gradeⅡ,2 of 8 patients achieved a gradeⅢ.Conclusion Reconstruction of facial nerve defect using sternocleidomastoid muscle-great auricu- lar nerve flap can provide better blood supply for the plerosis and regeneration of nerve.The nerve flap also ac- celerate the functional recovery after nerve grafting.
