Document Detail

Partial lesions of the intratemporal segment of the facial nerve: graft versus partial reconstruction.
MedLine Citation:
PMID:  18834068     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: In cases of partial lesions of the intratemporal segment of the facial nerve, should the surgeon perform an intraoperative partial reconstruction, or partially remove the injured segment and place a graft? We present results from partial lesion reconstruction on the intratemporal segment of the facial nerve. METHODS: A retrospective study on 42 patients who presented partial lesions on the intratemporal segment of the facial nerve was performed between 1988 and 2005. The patients were divided into 3 groups based on the procedure used: interposition of the partial graft on the injured area of the nerve (group 1; 12 patients); keeping the preserved part and performing tubulization (group 2; 8 patients); and dividing the parts of the injured nerve (proximal and distal) and placing a total graft of the sural nerve (group 3; 22 patients). RESULTS: Fracture of the temporal bone was the most frequent cause of the lesion in all groups, followed by iatrogenic causes (p < 0.005). Those who obtained results lower than or equal to III on the House-Brackmann scale were 1 (8.3%) of the patients in group 1, none (0.0%) of the patients in group 2, and 15 (68.2%) of the patients in group 3 (p <0.001). CONCLUSIONS: The best surgical technique for therapy of a partial lesion of the facial nerve is still questionable. Among these 42 patients, the best results were those from the total graft of the facial nerve.
Ricardo F Bento; Raquel Salomone; Rubens Brito; Robinson K Tsuji; Mariana Hausen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  117     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-10-06     Completed Date:  2008-10-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  665-9     Citation Subset:  AIM; IM    
Department of Otolaryngology, University of São Paulo, Medical School, São Paulo, Brazil.
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MeSH Terms
Anastomosis, Surgical / methods
Facial Nerve / surgery*
Facial Paralysis / surgery
Otorhinolaryngologic Surgical Procedures / methods
Retrospective Studies
Skull Fractures / surgery
Temporal Bone / injuries

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