Facial reanimation with interposition nerve graft or masseter nerve transfer:a comparative retrospective study  

作　　者：Wen-Jin Wang Wei-Dong Zhu Mathias Tremp Gang Chen Zhao-Yan Wang Hao Wu Wei Wang 

机构地区：[1]Department of Plastic and Reconstructive Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,China [2]Department of Otolaryngology Head and Neck Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,China [3]Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases,Shanghai,China [4]Ear Institute,Shanghai Jiao Tong University School of Medicine,Shanghai,China [5]Department of Plastic,Reconstructive,Aesthetic and Handsurgery,University Hospital Basel,Basel,Switzerland

出　　处：《Neural Regeneration Research》2022年第5期1125-1130,共6页中国神经再生研究（英文版）

基　　金：supported by Shanghai Municipal Commission of Health and Family Planning Program,China,No.201504253(to WW);Special Fund for Science and Technology Innovation by Shanghai Jiao Tong University,China,No.YG2016MS10(to WW);the National Natural Science Foundation of China,Nos.81570906(to HW)and 81371086(to ZYW)。

摘　　要：Both interposition nerve grafts and masseter nerve transfers have been successfully used for facial reanimation after irreversible injuries to the cranial portion of the facial nerve.However,no comparative study of these two procedures has yet been reported.In this two-site,twoarm,retrospective case review study,32 patients were included.Of these,17 patients(eight men and nine women,mean age 42.1 years)underwent interposition nerve graft after tumor extirpation or trauma between 2003 and 2006 in the Ear Institute,School of Medicine,Shanghai Jiao Tong University,China,and 15 patients(six men and nine women,mean age 40.6 years)underwent masseter-to-facial nerve transfer after tumor extirpation or trauma between November 2010 and February 2016 in Shanghai Ninth People's Hospital,China.More patients achieved House-Brackmann III recovery after masseter nerve repair than interposition nerve graft repair(15/15 vs.12/17).The mean oral commissure excursion ratio was also higher in patients who underwent masseter nerve transfer than in patients subjected to an interposition nerve graft.These findings suggest that masseter nerve transfer results in strong oral commissure excursion,avoiding obvious synkinesis,while an interposition nerve graft provides better resting symmetry.This study was approved by the Institutional Ethics Committee,Shanghai Ninth People's Hospital,China(approval No.SH9 H-2019-T332-1)on December 12,2019.

关 键 词：facial palsy facial reanimation facial symmetry House-Brackmann score INTERPOSITION masseter nerve nerve graft oral commissure excursion resting symmetry SYNKINESIS 

分 类 号：R651.3[医药卫生—外科学]