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Outcomes of Static and Dynamic Facial Nerve Repair in Head and Neck Cancer LARYNGOSCOPE Iseli, T. A., Harris, G., Dean, N. R., Iseli, C. E., Rosenthal, E. L. 2010; 120 (3): 478-483

Abstract

Determine outcomes associated with nerve grafting versus static repair following facial nerve resection.Retrospective chart review.Charts from 105 patients who underwent facial nerve reconstruction between January 1999 and January 2009 were reviewed. The majority had parotid malignancy (78.1%), most commonly squamous cell carcinoma (50.5%). Patients underwent static (n = 72) or dynamic (n = 33) reconstruction with nerve grafting. Facial nerve function was measured using the House-Brackmann (H-B) scale.Patients receiving static reconstruction were on average 10.3 years older (P = .002). Mean overall survival for tumor cases was 61.9 months; parotid squamous cell carcinoma was associated with worse prognosis (P = .10). Median follow-up was 16.1 months (range, 4-96.1 months). Most (97%) patients receiving a nerve graft had some return of function at a median of 6.2 months postoperatively (range, 4-9 months) and the majority (63.6%) had good function (H-B score 6 cm), and prolonged preoperative dysfunction.

View details for DOI 10.1002/lary.20789

View details for Web of Science ID 000275224200008

View details for PubMedID 20131366