Abstract
The facial nerve crosses the parotid tissue and considering the initial location malignancies can grow to engulf one or several branches of the nerve on different lengths or even the main trunk of the nerve, and removal of the involved segments must be performed together with the tumor. The functional sequelae following interruption can be quite debilitating for the patient, and reconstruction of the nerve should be performed whenever possible in order to ensure a good quality of life. The outcomes of the reconstruction are different depending on the moment of reconstruction and the chosen method. A wide range of reconstructive techniques are available and must be carefully selected in order to suit each case and ensure acceptable restoration of nerve function.
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Preis M, Soudry E, Bachar G, Shufel H, Feinmesser R, Shpitzer T. Predicting facial nerve invasion by parotid gland carcinoma and outcome of facial reanimation. Eur Arch Otorhinolaryngol. 2010;267(1):107–11. doi:10.1007/s00405-009-0968-x.
Liebig C, Ayala G, Wilks JA, Berger DH, Albo D. Perineural invasion in cancer: a review of the literature. Cancer. 2009;115(15):3379–91.
Gupta S, Mends F, Hagiwara M, Fatterpekar G, Roehm PC. Imaging the facial nerve: a contemporary review. Radiol Res Pract. 2013. doi:10.1155/2013/248039.
Iseli TA, Harris G, Dean NR, Iseli CE, Rosenthal EL. Outcomes of static and dynamic facial nerve repair in head and neck cancer. Laryngoscope. 2010;120(3):478–83. doi:10.1002/lary.20789.
Renkonen S, Sayed F, Keski-Säntti H, Ylä-Kotola T, Bäck L, Suominen S, Kanerva M, Mäkitie AA. Reconstruction of facial nerve after radical parotidectomy. Acta Otolaryngol. 2015;10:1–5.
Volk GF, Pantel M, Guntinas-Lichius O. Modern concepts in facial nerve reconstruction. Head Face Med. 2010;6:25. doi:10.1186/1746-160X-6-25. PMCID: PMC2984557.
Tate JR, Tollefson TT. Advances in facial reanimation. Curr Opin Otolaryngol Head Neck Surg. 2006;14(4):242–8.
Myers EN, Ferris RL. Salivary gland disorders. Berlin: Springer; 2007.
Terzis JK, Konofaos P. Nerve transfers in facial palsy. Facial Plast Surg. 2008;24:177–93. doi:10.1055/s-2008-1075833.
Chuang DC. Free tissue transfer for the treatment of facial paralysis. Facial Plast Surg. 2008;24(2):194–203. doi:10.1055/s-2008-1075834.
Kimata Y1, Sakuraba M, Hishinuma S, Ebihara S, Hayashi R, Asakage T. Free vascularized nerve grafting for immediate facial nerve reconstruction. Laryngoscope. 2005;115(2):331–6.
Urken ML, Weinberg H, Vickery C, Biller HF. The neurofasciocutaneous radial forearm flap in head and neck reconstruction: a preliminary report. Laryngoscope. 1990;100(2 Pt 1):161–73.
Gousheh J, Arasteh E. Treatment of facial paralysis: dynamic reanimation of spontaneous facial expression-apropos of 655 patients. Plast Reconstr Surg. 2011;128(6):693e–703. doi:10.1097/PRS.0b013e318230c58f.
Boahene KD. Dynamic muscle transfer in facial reanimation. Facial Plast Surg. 2008;24(2):204–10. doi:10.1055/s-2008-1075835.
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Popescu, E.I., Ciocan-Pendefunda, CC., Costan, VV. (2016). Attitude Toward the Facial Nerve in Extended Parotidectomy. In: Costan, VV. (eds) Management of Extended Parotid Tumors. Springer, Cham. https://doi.org/10.1007/978-3-319-26545-2_21
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DOI: https://doi.org/10.1007/978-3-319-26545-2_21
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