China ; Facial Neoplasms ; surgery ; Head and Neck Neoplasms ; surgery ; Humans ; Jaw Neoplasms ; surgery ; Mouth Neoplasms ; surgery

China ; Facial Neoplasms ; surgery ; Head and Neck Neoplasms ; surgery ; Humans ; Jaw Neoplasms ; surgery ; Mouth Neoplasms ; surgery

OBJECTIVETo summarize the therapeutic experience in removing huge craniofacial hemangioma in 135 cases and reveal the rules of repairing the damaged tissues or organs caused by the extirpation.

METHODSThe procedure was to remove the focal lesion correctly, control hemorrhage, keep the stable blood volume, repair and rebuild the damaged tissues or organs reasonably.

RESULTSThe focal lesion was removed rather completely without accidental injuries or deaths. The damaged tissues or organs were repaired and rebuilt quite satisfactorily.

CONCLUSIONHuge craniofacial hemangioma of any type should be operated on as early as possible with sufficient preoperative preparations.

Adult ; Facial Neoplasms ; surgery ; Female ; Hemangioma ; surgery ; Humans ; Male

Facial Neoplasms ; surgery ; Head and Neck Neoplasms ; surgery ; Humans ; Jaw Neoplasms ; surgery ; Mouth Neoplasms ; surgery ; Oral Medicine ; Otolaryngology ; Specialties, Surgical

Adolescent ; Endoscopy ; methods ; Face ; surgery ; Facial Neoplasms ; surgery ; Female ; Hemangioma, Cavernous ; surgery ; Humans ; Nose ; surgery

Humans ; Facial Nerve/surgery* ; Endolymphatic Sac/surgery* ; Cranial Sinuses ; Postoperative Complications ; Neoplasms

OBJECTIVETo evaluate the clinical outcome of craniofacial resection for advanced malignant tumors in oral and maxillofacial regions.

METHODSForty-six patients who underwent craniofacial resection for malignancies involving the anterior and middle cranial fossa over a 20-year period between June 1978 and December 1997 at our department were evaluated. Twenty patients received radiation therapy and an adjuvant therapy after the operation. Eleven patients received chemotherapy of various types as an adjuvant therapy.

RESULTSThe 3- and 5-year survival rates were 48.8% (20/41) and 35.1% (13/37), respectively, while the 10-year survival rate was 20% (4/20).

CONCLUSIONSOur results revealed good prospects of using craniofacial resection on patients with advanced malignancies in the oral and maxillofacial regions.

Adolescent ; Adult ; Aged ; Combined Modality Therapy ; Facial Bones ; surgery ; Female ; Humans ; Male ; Maxillary Neoplasms ; surgery ; Middle Aged ; Mouth Neoplasms ; surgery ; Skull ; surgery ; Skull Neoplasms ; surgery

OBJECTIVETo study the recovery method of facial nerve function and to compare the clinical effect after operation of parotid carcinoma, which invades stylomastoid foramen and peripheral bone in deep lobe.

METHODSThree operation methods were taken: (1) The tumor, parotid, invasive facial nerve and bone around the tumor were resected with transplantation of facial nerve. (2) Tumor parotid and facial nerve were resected without transplantation of facial nerve. (3) Tumor and parotid were dislocated from facial nerve, keeping the continuity of facial nerve.

RESULTSFor the first method, facial nerve function of 68.2% patients came back to the patients without facial paralysis before operation, while facial nerve function of 16.7% patients came back to the patients with facial paralysis before operation. There was obvious difference between them (P < 0.05). To the patients with facial paralysis before operation, the first and the second method were taken. The ratio of local control was 33.3% and 10.0% respectively. And survival for 5 years were 25.0% and 10.0% respectively. There was no obvious difference between the two methods (P > 0.05). To the patients without facial paralysis before operation, three methods of operation were taken. The ratio of local control was 77.3%, 48.0% and 33.3% respectively. And survival for 5 years were 86.4%, 52.0% and 41.7% respectively. There was obvious difference between the first method and the other two (P < 0.05). There was no obvious difference between the second and the third methods (P > 0.05).

CONCLUSIONFacial canal dissection in operation of parotid carcinoma with recovery of facial nerve can not only resect tumor completely, but also fit for development of functional surgery. It is an ideal method for surgery operation.

Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Facial Nerve ; physiopathology ; surgery ; Facial Paralysis ; surgery ; Female ; Humans ; Male ; Middle Aged ; Parotid Neoplasms ; surgery ; Treatment Outcome

OBJECTIVE: 10 summarize tne clinical features of the facial nerve tumors involving the internal auditory canal and promote the management of facial nerve tumor. METHOD: We retrospectively reviewed the clinical manifestations, the experiences of diagnosis and treatment of the facial nerve tumor involving the internal auditory canal. All these 5 cases were enrolled during January 2013 to Apr 2015. RESULT: Among the 5 cases, 3 cases were facial neurilemmoma and the others were facial neurofibroma. The main symptoms of facial nerve tumors involving the internal auditory canal most commonly were facial paralysis companied with hearing loss. All the patients accepted the surgical treatment with various approaches, 3 cases of translabyrinthine approach, 1 case of middle fossa approach, and 1 case of combination of translabyrinthine and transotic approach. Total tumor resection were achieved in all 5 cases. Facial-hypoglossal nerve anastomosis was performed in one case, another case was undergone great auricular nerve graft. CONCLUSION Surgical intervention for patients with facial neuroma involving internal auditory canal should be considered when facial weakness has deteriorated to grade 4. The management should be based on the patient's hearing, facial nerve function, tumor size and invasive extension to select the appropriate surgical procedures.
Anastomosis, Surgical ; Cranial Nerve Neoplasms ; diagnosis ; surgery ; Facial Nerve ; pathology ; surgery ; Facial Nerve Diseases ; diagnosis ; surgery ; Facial Paralysis ; complications ; Hearing Loss ; complications ; Humans ; Hypoglossal Nerve ; surgery ; Neurilemmoma ; diagnosis ; Neurofibroma ; diagnosis ; Retrospective Studies

OBJECTIVETo introduce the application of slender narrow pedicle flap in repairing facial tissue defects after skin carcinoma excision, and investigate its survival mechanism.

METHODSThe slender narrow pedicle iateral maxillocevical flap was designed with its pedicle including skin fascia or only the fascia located in front of auricle or behind of it, repaired 26 cases of facial defects, including 5 temporal skin basal cell carcinoma, 6 skin squamous cell carcinoma, and 1 facial skin malignant melanoma, 8 skin basal cell carcinoma, 5 skin squamous cell carcinoma, 1 skin mucinous carcinoma. In 26 cases, 24 cases their pedicles in front of the auricle, 2 cases behind of the auricle; 4 cases their pedicles only including fascia. The size of the flaps ranged from 3.0 cm x 2.5 cm to 10.0 cm x 8.0 cm. The width and length of the pedicle ranged 1.0-1.5 cm and 2-6 cm.

RESULTS26 cases of the slender narrow pedicle flaps all survived and the results were satisfactory except 5 cases of distal congestion, then gradual recovery.

CONCLUSIONSThis slender narrow flap don't include any major blood vessel, without dissecting the blood vessels in operating. Due to its slender pedicle, the whole flap looks like "pingpang bat", the flap rotation is easy and its coverage area is very large, without cat ears. The postoperative appearance (color, texture, cosmetic aspect) is satisfactory. This slender narrow flap is an extraordinary new flap design and is ideal for the repair of the facial tissue defect after skin carcinoma excision.

Carcinoma, Basal Cell ; surgery ; Carcinoma, Squamous Cell ; surgery ; Ear Auricle ; Ear, External ; Facial Neoplasms ; surgery ; Fascia ; transplantation ; Humans ; Melanoma ; surgery ; Skin Neoplasms ; surgery ; Surgical Flaps ; transplantation