PDF(Pubmed)
Abstract：
OBJECTIVE: Facial nerve sacrifice during radical parotidectomy can impair quality of life. This study assessed the effectiveness of single-stage facial reanimation surgery performed concurrently with radical parotidectomy in restoring facial function.
METHODS: A retrospective analysis was conducted on patients who underwent single-stage facial reanimation combined with radical parotidectomy. The techniques employed included selective reinnervation and orthodromic temporalis tendon transfer. Outcomes were evaluated using the modified House-Brackmann and Terzis grading systems, Emotrics facial assessment, and the Facial Disability Index (FDI).
RESULTS: Among the 13 patients studied (median age, 54 years; 69% male), 10 underwent selective reinnervation. Of these, nine patients demonstrated improvement, achieving House-Brackmann grade III and Terzis grade 4 or 5. The other three patients underwent tendon transfer and achieved moderate functional outcomes. Emotrics analysis revealed balanced facial symmetry in the selective reinnervation group. Furthermore, FDI scores indicated satisfactory physical and social/well-being functions.
CONCLUSIONS: Single-stage facial reanimation effectively restores facial function in patients undergoing radical parotidectomy. This approach offers meaningful benefits in the early recovery of facial function.
METHODS: A retrospective analysis was conducted on patients who underwent single-stage facial reanimation combined with radical parotidectomy. The techniques employed included selective reinnervation and orthodromic temporalis tendon transfer. Outcomes were evaluated using the modified House-Brackmann and Terzis grading systems, Emotrics facial assessment, and the Facial Disability Index (FDI).
RESULTS: Among the 13 patients studied (median age, 54 years; 69% male), 10 underwent selective reinnervation. Of these, nine patients demonstrated improvement, achieving House-Brackmann grade III and Terzis grade 4 or 5. The other three patients underwent tendon transfer and achieved moderate functional outcomes. Emotrics analysis revealed balanced facial symmetry in the selective reinnervation group. Furthermore, FDI scores indicated satisfactory physical and social/well-being functions.
CONCLUSIONS: Single-stage facial reanimation effectively restores facial function in patients undergoing radical parotidectomy. This approach offers meaningful benefits in the early recovery of facial function.
摘要：
■根治性腮腺切除术中的面神经损伤会损害生活质量。这项研究评估了同时进行单阶段面部修复手术与根治性腮腺切除术在恢复面部功能方面的有效性。
■对接受根治性腮腺切除术单阶段面部修复的患者进行了回顾性分析。技术包括选择性神经支配和正行颞肌腱转移。结果是使用改良的House-Brackmann和Terzis等级测量的，面部表情评估，和面部残疾指数(FDI)。
■在13名患者中（平均年龄54岁，男性占69％），十个人接受了选择性神经支配。这些患者中有9例表现出House-BrackmannIII级和Terzis4-5级的改善结果。其余三人接受了肌腱转移，实现适度的功能结果。表象分析表明，选择性神经支配组中平衡的面部对称性。外国直接投资得分反映了令人满意的身体和社会/福祉功能。
■单阶段面部修复可有效恢复根治性腮腺切除术患者的面部功能。这种方法在早期面部功能恢复中提供了显着的益处。
■对接受根治性腮腺切除术单阶段面部修复的患者进行了回顾性分析。技术包括选择性神经支配和正行颞肌腱转移。结果是使用改良的House-Brackmann和Terzis等级测量的，面部表情评估，和面部残疾指数(FDI)。
■在13名患者中（平均年龄54岁，男性占69％），十个人接受了选择性神经支配。这些患者中有9例表现出House-BrackmannIII级和Terzis4-5级的改善结果。其余三人接受了肌腱转移，实现适度的功能结果。表象分析表明，选择性神经支配组中平衡的面部对称性。外国直接投资得分反映了令人满意的身体和社会/福祉功能。
■单阶段面部修复可有效恢复根治性腮腺切除术患者的面部功能。这种方法在早期面部功能恢复中提供了显着的益处。
