DYNAMIC RECONSTRUCTION OF FACIAL PARALYSIS AFTER SUBTOTAL TEMPORAL BONE RESECTION

  • NAKAYAMA Bin
    Department of Plastic and Reconstructive Surgery, Tottori University Faculty of Medicine
  • TAKAHASHI Masakatsu
    Department of Otolaryngology, Kariya General Hospital
  • SAITO Kiyoshi
    Department of Neurosurgery, Nagoya Graduate School of Medicine
  • NAIKI Mikito
    Department of Otolaryngology, Nagoya Graduate School of Medicine
  • KAMEI Yuzuru
    Department of Plastic and Reconstructive surgery, Nagoya Graduate School of Medicine
  • TORIYAMA Kazuhiro
    Department of Plastic and Reconstructive surgery, Nagoya Graduate School of Medicine
  • TORII Shuhei
    Department of Plastic and Reconstructive surgery, Nagoya Graduate School of Medicine
  • NAKASHIMA Tsutomu
    Department of Otolaryngology, Nagoya Graduate School of Medicine

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Other Title
  • 側頭骨亜全摘術後の顔面神経動的再建

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Abstract

The incidence of malignant tumor of a temporal bone is rare, its prognosis is reported as poor and the result of facial reanimation is unknown. Five cases of malignant tumor of a temporal bone underwent dynamic reconstruction for facial paralysis with subtotal temporal bone resection simultaneously. We report two reconstructive methods for facial paralysis caused by the subtotal temporal bone resection, one was a free nerve graft and the other was neurovascular free muscle transfer. The recovering from facial paralysis ranged from 25% to 50% compared with preoperative facial movement.

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