Maxillofacial Plastic and Reconstructive Surgery

  • Volume 40
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  • Pages.22.1-22.4
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  • 2018
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Per-oral cross-facial sural nerve graft for facial reanimation

  • Jeong, Joohee (Oral Oncology Clinic, Research Institute and Hospital, National Cancer Center) ;
  • Almansoori, Akram Abdo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Park, Hyun-Soo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Byun, Soo-Hwan (Department of Oral and Maxillofacial Surgery, Dongtan Sacred Heart Hospital, Hallym University Medical Center) ;
  • Min, Seung-Ki (Oral Oncology Clinic, Research Institute and Hospital, National Cancer Center) ;
  • Choung, Han-Wool (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Park, Joo Yong (Oral Oncology Clinic, Research Institute and Hospital, National Cancer Center) ;
  • Choi, Sung Weon (Oral Oncology Clinic, Research Institute and Hospital, National Cancer Center) ;
  • Kim, Bongju (Dental Life Science Research Institute, Clinical Translational Research Center for Dental Science, Seoul National University Dental Hospital) ;
  • Kim, Soung-Min (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
  • Received : 2018.06.15
  • Accepted : 2018.08.02
  • Published : 2018.12.31
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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.

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References

  1. Pogrel MA, Schmidt B, Ammar A (1996) The relationship of the buccal branch of the facial nerve to the parotid duct. J Oral Maxillofac Surg 54:71-73 https://doi.org/10.1016/S0278-2391(96)90309-2
  2. Scaramella LF (1975) Anastomosis between the two facial nerves. Laryngoscope 85:1359-1366 https://doi.org/10.1288/00005537-197508000-00012
  3. Tomita K, Hosokawa K, Yano K (2010) Reanimation of reversible facial paralysis by the double innervation technique using an intraneuraldissected sural nerve graft. J Plast Reconstr Aesthet Surg 63:e535-e539 https://doi.org/10.1016/j.bjps.2009.11.023
  4. Son ET, Choi HJ, Nam DH, Kim JH, Lee YM (2013) Analysis of anatomical relationship between Stensen's duct and buccal branch of facial nerve. Archives of Craniofacial Surgery 14:102-106 https://doi.org/10.7181/acfs.2013.14.2.102
  5. Steinberg MJ, Herrera AF (2005) Management of parotid duct injuries. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99:136-141 https://doi.org/10.1016/j.tripleo.2004.05.001
  6. JOFFE N (1967) Some sialographic findings in traumatic lesions of the parotid duct and gland. Am J Roentgenol 100:656-663 https://doi.org/10.2214/ajr.100.3.656
  7. Wilhelmi BJ, Mowlavi A, Neumeister MW (2003) The safe face lift with bony anatomic landmarks to elevate the SMAS. Plast Reconstr Surg 111:1723-1726 https://doi.org/10.1097/01.PRS.0000054237.81611.D8