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Date Published: 17/06/2022
Abstract Views: 266
Views PDF: 250
DOI: https://doi.org/10.51298/vmj.v513i2.2463
Issue
Vol. 513 No. 2 (2022)
Section
Các bài báo
How to Cite
Quang An, L. ., Phan Chung Thủy, T. ., Viết Luân, T. ., Văn Dương, T. ., & Xuân Hiệp, T. . (2022). SURGICAL REPAIR FOR PERIPHERAL FACIAL NERVE INJURY IN PATIENT WITH FACIAL TRAUMA. Vietnam Medical Journal, 513(2). https://doi.org/10.51298/vmj.v513i2.2463

SURGICAL REPAIR FOR PERIPHERAL FACIAL NERVE INJURY IN PATIENT WITH FACIAL TRAUMA

Lâm Quang An1,, Trần Phan Chung Thủy2, Trần Viết Luân2, Trần Văn Dương1, Trần Xuân Hiệp3
1 Cho Ray Hospital
2 Pham Ngoc Thach University of Medicine, Ho Chi Minh City
3 Hanoi Central Odonto-Stomatology Hospital

Main Article Content

Abstract

Background: Damage to the facial nerve after facial trauma, if not treated in time, will affect function, bad aesthetics, affect psychology, daily life, and quality of life of patients. Objectives: To evaluate the outcome of surgical repair of the facial nerve injury in the patients with facial trauma. Methods: cases study of patients suffering facial paralysis with facial trauma underwent end to end neurorrhaphy or using nerve graft from January 1, 2019, to December 12, 2020, at the Central Hospital of Odonto-Stomatology Hochiminh City. Results: 21 patients with traumatic facial nerve injury were included in our study. All cases underwent peripheral facial nerve repair within 8 weeks after the facial trauma. End to end neurorhaphy were performed in 8 patients (38%); Sural nerve graft primary were used in 9 patients (42.8%); using the Sural nerve as the nerve graft, combination of end to end anastomosis and nerve grafting were performed in 4 patients (19.2%). Facial nerve function was improved in 20 patients (95%) including complete restoration in 5 patients and partial in 15 patients. There were 3 patients (14,2%) had synectics facial nerve after the surgery. Conclusions: End-to-end anastomosis and nerve grafting of the injured nerve VII after trauma will help restore facial nerve conduction and improve the patient's facial paralysis.

Article Details

Keywords

facial paralysis, end-to-end anastomosis, nerve graft, Sural nerve

References

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