Fascicular Turnover Flap: An Approach for Facial Nerve Reconstruction

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Citações na Scopus
1
Tipo de produção
article
Data de publicação
2021
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
LIPPINCOTT WILLIAMS & WILKINS
Autores
FERRY, Andrew M.
MANFRO, Gabriel
DIAS, Fernando Luiz
TEIXEIRA, Gilberto Vaz
ABU-GHNAME, Amjed
MARICEVICH, Marco
Citação
JOURNAL OF CRANIOFACIAL SURGERY, v.32, n.6, p.E560-E562, 2021
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Facial nerve injuries are a common complication associated with parotidectomy. These functionally debilitating injuries are conventionally treated with nonvascularized nerve grafting; however, this reconstructive modality produces moderate donor site morbidity and has limited efficacy for repairing large defects. In addition, nonvascularized nerve grafts are highly susceptible to radiotherapy and require a well-vascularized wound bed to produce adequate therapeutic results. The fascicular turnover flap, described by Koshima et al, utilizes a single fascicle to bridge two nerve endings that are in series with no donor site morbidity. Although studies have demonstrated this technique's efficacy, there is a paucity of data regarding its use in patients undergoing facial nerve reconstruction. Herein, we describe our early clinical experience using the fascicular turnover flap to reconstruct branches of the facial nerve in patients undergoing extensive parotidectomy. Our patients underwent successful reconstruction of the nerve defects produced by parotidectomy using the fascicular turnover flap. Despite postoperative radiotherapy, both patients demonstrated complete functional recovery at six months postoperatively. Although formal head-to-head studies are needed to compare the outcomes of this technique versus conventional nerve grafting for facial nerve reconstruction, our preliminary experiences suggest that the fascicular turnover flap is a viable modality of reconstruction with great potential.
Palavras-chave
Facial nerve injuries, microsurgery, parotid gland, peripheral nerve injuries, plastic, reconstructive surgical procedures, surgery
URI
https://observatorio.fm.usp.br/handle/OPI/43678
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - LIM/28