Archives of Hand and Microsurgery

The Korean Society for Surgery of the Hand (대한수부외과학회)
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Long-Term Follow-Up after the Sural Nerve Graft on the Injured Temporal Branch of the Facial Nerve: A Case Report

안면신경의 측두지 손상에서 비복 신경을 이용한 지연 신경 이식술 후 장기 추적 예후: 증례보고

  • Cheon, Jeong-Hyun (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College Medicine) ;
  • Chung, Jae-Ho (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College Medicine) ;
  • Yoon, Eul-Sik (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College Medicine) ;
  • Lee, Byung-Il (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College Medicine) ;
  • Park, Seung-Ha (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College Medicine)
  • 천정현 (고려대학교 의과대학 안암병원 성형외과학교실) ;
  • 정재호 (고려대학교 의과대학 안암병원 성형외과학교실) ;
  • 윤을식 (고려대학교 의과대학 안암병원 성형외과학교실) ;
  • 이병일 (고려대학교 의과대학 안암병원 성형외과학교실) ;
  • 박승하 (고려대학교 의과대학 안암병원 성형외과학교실)
  • Received : 2018.10.01
  • Accepted : 2018.11.01
  • Published : 2018.12.01
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Abstract

The temporal branch of the facial nerve is particularly vulnerable to traumatic injuries due to its anatomic location, which often causes severe aesthetic and functional loss in the patient. Moreover, a chronic injury with nerve defect is more difficult to treat compared to acute injury, because it usually needs an additional procedure such as a nerve graft surgical procedure. This case shows a male patient who had a divided temporal branch of the facial nerve one month after an injury. We successfully grafted the split sural nerve and showed a good aesthetic, functional recovery for the patient.

안면 신경의 측두지는 그 해부학적 위치로 인하여 외상성 손상에 취약하며, 이로 인해 환자는 종종 상당한 미용적, 기능적 손실을 경험한다. 나아가 결손이 있는 만성 손상은 신경 이식 등의 추가적인 시술이 필요한 경우가 많기에 급성 손상에 비하여 그 치료가 까다롭다. 본 연구에서는 안면 신경의 측두지 손상 발생으로부터 1개월 후에 지연된 신경 이식을 한 남성 환자의 증례를 다루었다. 우리는 성공적으로 비복 신경을 분할 이식하였으며 환자는 양호한 미용적, 기능적 회복을 보였다.

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References

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