𝔖 Bobbio Scriptorium
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Management of failed nerve graft following facial nerve resection for facial nerve neurofibroma

✍ Scribed by May, Mark ;Gantz, Bruce ;Hughes, Gordon

Publisher
Wiley (John Wiley & Sons)
Year
1987
Weight
390 KB
Volume
9
Category
Article
ISSN
0148-6403

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✦ Synopsis

This issue's Consultations involves a difficult facial nerve problem, that of a facial nerve graft with no evidence of reinnervation 1 year later. Almost all facial nerve grafts achieve some degree of nerve reinnervation, depending on length of the graft, radiotherapy, age of the patient, and other considerations. When there is no reinnervation whatsoever, rather difficult diagnostic and therapeutic options must be considered, as with this case.

CLINICAL HISTORY

A 27-year-old, healthy, white man had a radical parotidectomy with facial nerve resection for a facial nerve neurofibroma. The tumor had enlarged the fallopian canal and extended proximally from the pes anserinus to the proximal portion of the tympanic segment of the facial nerve. The tumor resection, performed 1 year previously, Readers are invited to submit pafticu/ar/y difficult cases for consideraation

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