Scientific publications

Wrapping a facial nerve graft in a superficial temporofascial flap to optimise vascularisation: technical note

Hontanilla B (1), Cabello A [SP] (2), Marre D (2), Manrique M (3).
(1) Department of Plastic and Reconstructive Surgery, Clinica Universidad de Navarra, Spain.
(2) Department of Plastic and Reconstructive Surgery, Clinica Universidad de Navarra, Spain.
(3) Department of Ear, Nose and Throat Surgery, Clinica Universidad de Navarra, Spain. 

Magazine: The British Journal of Oral & Maxillofacial Surgery

Date: May 1, 2016

Otorhinolaryngology

The outcome of grafting the facial nerve can be jeopardised when extensive bone drilling is required for adequate exposure and space for coaptation. Though nerve grafts placed directly over bone (without periosteum) sometimes work, the odds are reduced. To overcome this, the addition of well-vascularised tissue to the bed of the graft can be helpful.

A 34-year-old man with a history of cystic adenocarcinoma of the right parotid gland had a total parotidectomy with transection of the facial nerve at the level of the stylomastoid foramen, ipsilateral neck dissection, and postoperative external beam radiotherapy. Ten months later he consulted us about reanimation of a complete right-sided facial paralysis.

CITATION  Br J Oral Maxillofac Surg. 2016 May;54(4):466-8. doi: 10.1016/j.bjoms.2015.09.003. Epub 2015 Oct 1

tal vezLE INTERESE

WHAT TECHNOLOGY
DO WE USE?

The Clínica is the greater private hospital with technological equipment of Spain, all in a single center.

Imagen de un PET, tecnología de vanguardia en la Clínica Universidad de Navarra

OUR
PROFESSIONALS

The professionals of the Clínica perform continuous research and training, always to the benefit of the patient.

Imagen profesionales de la Clínica Universidad de Navarra

WHY CHOOSE
THE CLINICA?

Learn why we are different from other healthcare centers. Quality, speed, comfort and results.

Imagen del edificio de la Clínica Universidad de Navarra