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Contemporary Concepts of Primary Dynamic Facial Nerve Reconstruction in the Oncologic Patient
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery. Univ Hosp Zurich, Div Plast Surg & Hand Surg, Raemistr 100, CH-8091 Zurich, Switzerland.
Vila Nova Gaia Espinho Hosp Ctr, Dept Plast, Reconstruct & Craniomaxillofacial Surg & Microsur, Porto, Portugal.
Sigmund Freud Univ, Fac Med, Vienna, Austria.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery.
2019 (English)In: The Journal of craniofacial surgery (Print), ISSN 1049-2275, E-ISSN 1536-3732, Vol. 30, no 8, p. 2578-2581Article in journal (Refereed) Published
Abstract [en]

Transection of the facial nerve and its branches during extensive ablative procedures in the oncologic patient causes loss of control of facial mimetic muscles with severe functional and aesthetic sequelae. In such patients with advanced tumorous disease, copious comorbidities, and poor prognosis, rehabilitation of the facial nerve has long been considered of secondary priority. However, recent advances in primary facial nerve reconstruction after extensive resection demonstrated encouraging results focusing on rapid and reliable restoration of facial functions. The authors summarize 3 innovative approaches of primary dynamic facial nerve reconstruction by using vascularized nerve grafts, dual innervation concepts, and intra-facial nerve transfers.

Place, publisher, year, edition, pages
LIPPINCOTT WILLIAMS & WILKINS , 2019. Vol. 30, no 8, p. 2578-2581
Keywords [en]
Dual innervation, facial nerve reconstruction, facial palsy, hand and neck oncology, intrafacial nerve transfer, vascularized nerve graft
National Category
Surgery
Identifiers
URN: urn:nbn:se:uu:diva-406467DOI: 10.1097/SCS.0000000000005619ISI: 000509687200116PubMedID: 31584554OAI: oai:DiVA.org:uu-406467DiVA, id: diva2:1413082
Available from: 2020-03-09 Created: 2020-03-09 Last updated: 2020-03-09Bibliographically approved

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