Facial Nerve Reconstruction Following Ablative Parotid Surgery - The Ansa Cervicalis Hypoglossal-Facial Anastomosis: A Case Report and Review of Literature.
|Year of publication||2018|
|Type||Article in Periodical|
|Magazine / Source||Otorhinolaryngologie a foniatrie|
|MU Faculty or unit|
|Keywords||Parotidectomy; Facial palsy; Facial nerve reconstruction; Hypoglosso-facial anastmosis; Ansa cervicalis of hypoglossal nerve|
|Description||Adenoid cystic carcinoma (AdCC) is a relatively rare, slow growing tumour, characterized by local aggressive infiltrative, growth with a high percentage of perineural invasion. Surgical resection is the primary treatment of choice in the case of resectable tumours. If perineural invasion of the facial nerve is detected, the resection of the part of the facial nerve which is infiltrated by the tumour is indicated. The authors present a modified technique of the hypoglosso-facial anastomosis using the cervical ansa, following a total radical parotidectomy, which was successfully performed, followed by an uneventful postoperative recovery of the patient. This technique was found to be effective in restoring the facial nerve function, without causing morbidity at the donor site.|