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Treatment of facial palsy after parotid tumor surgery by great auricular nerve grafting

Treatment of facial palsy after parotid tumor surgery by gre...

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2009国际暨第十届全国头颈肿瘤大会

作者： Lu Xuguang Cai Zhigang Yu Guangyan Peng Xin Huang Minxian Dept.Oral & Maxillofacial Surgery Peking University School & Hospital of Stomatology Beijing 100081

＜正＞Objective:To assess the long time follow-up nerve function and clinical value of great auricular nerve grafting in the treatment of facial palsy after *** and method:Fourteen patients with parotid tumors who were treated with great auricular nerve grafting after parotidectomy were followed up from 1998 to 2004（9 males and 5 females;age range 22～65 years）.Four were benign and ten were malignant *** of them were unilateral affected. Eleven cases of nerve grafting were done immediately after the tumor *** cases were done 6 months after tumor surgery and one case was 9 *** cases were affected in the facial nerve main trunk,four cases in the cervical division,one in the zygomatic branch and one in the zygomatic and temporal *** great auricular nerve in the same side of the tumor was harvested for nerve grafting except for both sides were used in one *** patients were followed up from half a year to 5 years,until they were recovered or no obvious recovery was observed in half a *** drugs and neuromuscular facial retraining were both given after ***-Brackmann grading scale,electroneurography were applied to evaluate the ***:Ten cases which were treated at the same time with tumor dissection recovered to HB gradeⅠtoⅡexcept for one patient recurred one year after operation All 10 patients were satisfied with the results.7 cases suffered from synkinesis in the tumor side.2 patients had no recovery in lifting *** showed the amplitudes in the grafting sides are all lower than the normal *** 1 of the 3 cases which were treated more than half a year later recovered to HB gradingⅡ,the other 2 had no recovery in facial nerve movement and electroneurography showed no ***:The great auricular nerve grafting is an effective method in the treatment of facial nerve defect in parotidectomy.A great part of facial nerve function will be preserved after

关键词： Parotid tumor Facial palsy great auricular nerve nerve grafting

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