Per-oral cross-facial sural nerve graft for facial reanimation
10.1186/s40902-018-0163-3
- Author:
Joohee JEONG
1
;
Akram Abdo ALMANSOORI
;
Hyun Soo PARK
;
Soo Hwan BYUN
;
Seung Ki MIN
;
Han Wool CHOUNG
;
Joo Yong PARK
;
Sung Weon CHOI
;
Bongju KIM
;
Soung Min KIM
;
Jong Ho LEE
Author Information
1. Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, 275-1 Yeongeon-dong, Jongro-gu, Seoul, 110-749 South Korea. leejongh@snu.ac.kr.
- Publication Type:Original Article
- Keywords:
Facial nerve paralysis;
Cross-facial nerve graft;
Facial reanimation;
Sural nerve
- MeSH:
Anatomic Landmarks;
Cheek;
Cicatrix;
Facial Nerve;
Facial Paralysis;
Humans;
Mucous Membrane;
Skin;
Sural Nerve;
Transplants
- From:Maxillofacial Plastic and Reconstructive Surgery
2018;40(1):22-
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Cross-facial nerve graft is considered the treatment of choice for facial reanimation in patients with unilateral facial palsy caused by central facial nerve damage. In most cases, a traditional parotidectomy skin incision is used to locate the buccal and zygomatic branches of the facial nerve. METHODS: In this study, cross-facial nerve graft with the sural nerve was planned for three patients with facial palsy through an intraoral approach. RESULTS: An incision was made on the buccal cheek mucosa, and the dissection was performed to locate the buccal branch of the facial nerve. The parotid papillae and parotid duct were used as anatomic landmarks to locate the buccal branch. CONCLUSIONS: The intraoral approach is more advantageous than the conventional extraoral approach because of clear anatomic marker (parotid papilla), invisible postoperative scar, reduced tissue damage from dissection, and reduced operating time.
