The impact of technical variations on the final outcome.
Autores: María Sánchez-Ocando - Javier Gavilán - Julio Penarrocha - Teresa González-Otero - Susana Moraleda -
José María Roda - Luis Lassaletta
Abstract: Objectives To analyze the outcome of facial nerve (FN) reconstruction, the impact of technical variations in different conditions and locations, and the importance of additional techniques in case of suboptimal results.
Patients Between 2001 and 2017, reconstruction of the FN was performed on 36 patients with varying underlying diseases. Interventions FN repair was performed by direct coaptation (n = 3) or graft interposition (n = 33). Microsurgical sutures were used in 17 patients (47%) and fibrin glue was used in all cases. Additional reinnervation techniques (hypoglossal–facial or masseter–facial transfers) were performed in five patients with poor results after initial reconstruction.