| Does a positive neural margin affect outcome in facial nerve grafting? | |
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MedLine Citation:
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PMID: 17252588 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: We sought to determine the effect of positive neural margins on subsequent facial nerve function following facial nerve grafting. METHODS: In this retrospective review, 19 patients had sacrifice of their facial nerve with immediate facial nerve grafting, 8 had positive neural margins, and 11 had negative neural margins. Facial nerve function was analyzed using the House-Brackman scale. RESULTS: In the first group (8 patients), 5 had positive proximal margins and 3 had positive distal neural margins. Outcome by House-Brackman score was III (2 patients), IV (3 patients), V (1 patient), and VI (2 patients). In the second group (no evidence of neural spread, 11 patients), outcome was III (3 patients), IV (2 patients), V (2 patients), and VI (4 patients). CONCLUSION: No significant difference in the outcome of facial nerve function was seen between these 2 groups. Facial nerve grafting should be considered in patients whose facial nerve is sacrificed, even when there is evidence of tumor in the perineurium at the margin of resection. |
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Authors:
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Mark K Wax; David M Kaylie |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Head & neck Volume: 29 ISSN: 1043-3074 ISO Abbreviation: Head Neck Publication Date: 2007 Jun |
Date Detail:
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Created Date: 2007-05-21 Completed Date: 2007-10-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8902541 Medline TA: Head Neck Country: United States |
Other Details:
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Languages: eng Pagination: 546-9 Citation Subset: IM |
Copyright Information:
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(c) 2007 Wiley Periodicals, Inc. Head Neck, 2007. |
Affiliation:
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Department of Otolaryngology/Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon, USA. waxm@ohsu.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Carcinoma / pathology, therapy Cranial Nerve Neoplasms / pathology*, surgery Facial Nerve / pathology*, surgery* Facial Nerve Diseases / pathology*, surgery Female Humans Male Middle Aged Neoplasm Invasiveness Parotid Gland / surgery Parotid Neoplasms / pathology, therapy* Retrospective Studies Sural Nerve / transplantation* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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