Management of Acute Facial Nerve and Parotid Injuries

McElwee, Tyler; Poche, John N.; Sowder, Justin C.; Hetzler, Laura

doi:10.1055/s-0041-1725129

Cited by 8 publications

(6 citation statements)

References 44 publications

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“…The distal of the duct is cannulated and emerges in the surgical field. When both stumps of the injured duct can be identified and the defect is less than 10 mm, we repair 18 . Parotid duct be cannulated to maintain the patency of the lumen for 2 weeks.…”

Section: Discussionmentioning

confidence: 99%

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Epidemiology of Craniofacial Soft Tissue Injury in a Western Chinese Population

Mu,

Dong,

Chen

et al. 2024

Journal of Craniofacial Surgery

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Purpose: Craniofacial soft tissue injuries represent a serious public health problem and their epidemiology is extremely variable. The objective of the present study was to analyze and discuss the epidemiological characteristics of 12,816 patients with craniofacial skin soft tissue injuries over a 3-year period. Materials and Methods: This retrospective study was conducted in emergency departments of plastic surgery at Xijing Hospitals from 2020 to 2022. Data were collected for the cause of injury, age and gender distribution, localization and frequency of soft tissue injuries, visit time, facial bone fractures, nerve injury, and treatment protocols. All the data were analyzed and performed including descriptive analysis, chi-square test, and logistic regression analyses. Results: A total of 13,574 soft tissue injuries were seen in 12,816 patients. A total to 94.67% (12,133) were single-site injuries, and 5.33% (683) were multiple-site injuries. The male-to-female ratio of 1.62:1. The age group 0 to 9 years accounted is the largest subgroup. The most common etiology of the trauma was collisions, accounted for 51.89%. The forehead (23.54%) was the most common site by the cheeks (14.36%). Two hundred three patients (1.58%) had associated bone fractures. May month had the highest incidence of trauma and February month had the lowest incidence. There are more visits on weekends than on weekdays. 18:00 to 24:00 is the time with the largest number of visits, but there is no statistically significant difference from other time periods. The average time interval between the accident and treatment was 6.8 hours, and the median time was 6 hours. Conclusions: The incidence of craniofacial soft tissue injuries is related to gender, age, and the cause of trauma. Children between 0 and 9 are the most likely group. Collisions is the main cause of craniofacial soft tissue injuries.

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Section: Discussionmentioning

confidence: 99%

“…When both stumps of the injured duct can be identified and the defect is less than 10 mm, we repair. 18 Parotid duct be cannulated to maintain the patency of the lumen for 2 weeks. Otherwise, the proximal end of the duct should be ligated.…”

Section: Treatment Approachmentioning

confidence: 99%

Epidemiology of Craniofacial Soft Tissue Injury in a Western Chinese Population

Mu,

Dong,

Chen

et al. 2024

Journal of Craniofacial Surgery

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“…Anatomic landmarks are helpful in finding the location of branches of the facial nerve. Frontal branch of the facial nerve can be detected by Pitanguy's line which is drawn from the root of the ear lobe to the midpoint between the root of the helix and the lateral cantus (10). Pitanguy's line is also defined as an imaginary line drawn from 0.5 cm inferior to the tragus to a point 1.5 cm superolateral to the eyebrow.…”

Section: Discussionmentioning

confidence: 99%

Immediate Frontal Nerve Repair Produces Early Facial Reanimation: A Case Report and Literature Review

Altiparmak¹,

ALATAŞ

2023

Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi

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Frontal nerve injury may result with permanent facial asymmetry. This may severely affect social and psychological status. It is known that early repair of frontal nerve is more effective than delayed repair. However, it is not well defined how the frontal nerve repairment responds to emergency coaptation. A case report of a 27 years old male whom had a right frontotemporal laceration after a trauma has been presented. The patient was operated immediately and the frontal nerve was explored under microscope. Either ends of the frontal nerve were found within the injury zone and repaired. Frontal muscle reanimation started after one week and recorded to be nearly fully gained in post-operative one month. House-Brackmann Grade VI injuryimprovedto a Grade II nervefuncitonwithin 1 monthafteroperation. In conclusion, emergency coaptation of frontal nerve injuries may result with full reanimation of the muscle.

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“…12,13 Additionally, McElwee also suggests that efforts should be made to surgically restore nerve conduction, even for delayed nerve injuries up to 12 months, as muscle function can still be restored. 14 After 12 months, the muscle is atrophied, and even surgical nerve repair will not improve muscle function.…”

Section: Time Of Surgerymentioning

confidence: 99%

Rehabilitation Surgery for Peripheral Facial Nerve Injury after Facial Trauma

Lam,

Tran,

Tran

et al. 2024

Int Arch Otorhinolaryngol

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Introduction Facial trauma can cause damage to the facial nerve, which can have negative effects on function, aesthetics, and quality of life if left untreated. Objective To evaluate the effectiveness of peripheral facial nerve direct end-to-end anastomosis and/or nerve grafting surgery for patients with facial nerve injury after facial trauma. Methods Fifty-nine patients with peripheral facial nerve paralysis after facial injuries underwent facial nerve rehabilitation surgery from November 2017 to December 2021 at Ho Chi Minh City National Hospital of Odontology. Results All 59 cases of facial trauma with damage to the peripheral facial nerve underwent facial nerve reconstruction surgery within 8 weeks of the injury. Of these cases, 25/59 (42.3%) had end-to-end anastomosis, 22/59 (37.3%) had nerve grafting, and 12/59 (20.4%) had a combination of nerve grafting and end-to-end anastomosis. After surgery, the rates of moderate and good recovery were 78.4% and 11.8%, respectively. All facial paralysis measurements showed statistically significant improvement after surgery, including the Facial Nerve Grading Scale 2.0 (FNGS 2.0) score, the Facial Clinimetric Evaluation (FaCE) scale, and electroneurography. The rate of synkinesis after surgery was 34%. Patient follow-up postoperatively ranged from 6 to > 36 months; 51 out of 59 patients (86.4%) were followed-up for at least 12 months or longer. Conclusion Nerve rehabilitation surgery including direct end-to-end anastomosis and nerve grafting is effective in cases of peripheral facial nerve injury following facial trauma. The surgery helps restore nerve conduction and improve facial paralysis.

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Management of Acute Facial Nerve and Parotid Injuries

Cited by 8 publications

References 44 publications

Epidemiology of Craniofacial Soft Tissue Injury in a Western Chinese Population

Epidemiology of Craniofacial Soft Tissue Injury in a Western Chinese Population

Immediate Frontal Nerve Repair Produces Early Facial Reanimation: A Case Report and Literature Review

Rehabilitation Surgery for Peripheral Facial Nerve Injury after Facial Trauma

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