Outcome of Reconstruction of Advanced Brown’s Maxillary Defect with Free Tissue Transfer: Our Early Experience in a Tertiary Cancer Centre in North-East of India

Author(s):  
Sumanjit Boro ◽  
Ashutosh Sahewalla ◽  
Kaberi Kakati ◽  
Anupam Das
2009 ◽  
Vol 123 (4) ◽  
pp. 1239-1244 ◽  
Author(s):  
Ivo A. Pestana ◽  
Brian Coan ◽  
Detlev Erdmann ◽  
Jeffrey Marcus ◽  
L Scott Levin ◽  
...  

2008 ◽  
Vol 87 (4) ◽  
pp. 226-233
Author(s):  
John P. Leonetti ◽  
Chad A. Zender ◽  
Daryl Vandevender ◽  
Sam J. Marzo

We conducted a retrospective case review at our tertiary care academic medical center to assess the long-term results of microvascular free-tissue transfer to achieve facial reanimation in 3 patients. These patients had undergone wide-field parotidectomy with facial nerve resection. Upper facial reanimation was accomplished with a proximal facial nerve–sural nerve graft, and lower facial movement was achieved through proximal facial nerve–long thoracic (serratus muscle) nerve anastomosis. Outcomes were determined by grading postoperative facial nerve function according to the House-Brackmann system. All 3 patients were able to close their eyes independent of lower facial movement, and all 3 had achieved House-Brackmann grade III function. We conclude that reanimating the paralyzed face with microvascular free-tissue transfer provides anatomic coverage and mimetic function after wide-field parotidectomy. Synkinesis is reduced by separating upper-and lower-division reanimation.


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