Facial Nerve Reconstruction Using a Vascularized Lateral Femoral Cutaneous Nerve Graft Based on the Superficial Circumflex Iliac Artery System: An Application of the Inferolateral Extension of the Groin Flap

2010 ◽  
Vol 26 (09) ◽  
pp. 577-582 ◽  
Author(s):  
Katsuhiko Kashiwa ◽  
Seiichiro Kobayashi ◽  
Wakako Nasu ◽  
Takashi Kuroda ◽  
Hirofumi Higuchi
Microsurgery ◽  
2014 ◽  
Vol 35 (2) ◽  
pp. 135-139 ◽  
Author(s):  
Nikolaos Agrogiannis ◽  
Shai Rozen ◽  
Gangadasu Reddy ◽  
Thorir Audolfsson ◽  
Andres Rodriguez-Lorenzo

2017 ◽  
Vol 5 ◽  
pp. 2050313X1774182
Author(s):  
Ryo Karakawa ◽  
Mitsunaga Narushima ◽  
Shinya Ogishima ◽  
Hisako Hara ◽  
Shotaro Karino ◽  
...  

The complex reconstruction of nerves and soft tissue in the head and neck region is still challenging, especially in cases requiring external auditory canal reconstruction with facial nerve reconstruction. We report a case of left facial schwannoma extending into the external auditory canal beyond the tympanic membrane with facial paralysis in which the reconstruction of both the facial nerve and external auditory canal was successfully performed using an anterolateral thigh flap as a super-thin full-thickness skin flap, including vascularized lateral femoral cutaneous nerve. Resection of 20 mm × 46 mm facial schwannoma, including the skin of the external auditory canal, tympanic membrane, incus and malleus, was performed. The 8-cm nerve gap was repaired using a vascularized lateral femoral cutaneous nerve included in the anterolateral thigh flap. An 8 cm × 2 cm super-thin, free anterolateral thigh flap was then rolled up as a sac (diameter of 2 cm, height of 2 cm) and inset to the external auditory canal defect. The postoperative course was uneventful, and the flap survived completely. One year and nine months after the surgery, the patient’s facial movement has improved to the pre-surgery level.


Author(s):  
V.A. Sukharev ◽  
◽  
S.V. Tereshchuk ◽  
E.A. Vasil’ev ◽  
◽  
...  

In this article we present our experience in the reconstruction of multiple branches of the facial nerve by a loop of sural nerve graft on a patient with gigantic recurrent parotid adenoma. In the original technique of Kikabuchi et al., one end of the grafted nerve is sutured with the stumps of the facial nerve branches in an end-to-side manner through epineural windows made on the nerve graft. In contrast with this approach, we sutured the graft branches with the stumps of the facial nerve branches in an end-to-end manner. Functional recovery of all branches and satisfactory facial expression (House–Brackmann Grade I–II) were obtained within 2 years postoperatively. This technique is a useful option for facial nerve reconstruction managing multiple branches.


2004 ◽  
Vol 53 (5) ◽  
pp. 496-500 ◽  
Author(s):  
Masao Kakibuchi ◽  
Kojiro Tuji ◽  
Kenji Fukuda ◽  
Tomonori Terada ◽  
Nobuyuki Yamada ◽  
...  

2012 ◽  
Vol 129 (5) ◽  
pp. 852e-853e ◽  
Author(s):  
Federico Biglioli ◽  
Valeria Colombo ◽  
Dimitri Rabbiosi ◽  
Giacomo Colletti ◽  
Alice Frigerio

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