Masseteric-Facial Anastomosis: A Report of Three Cases

Intoduction The pathways of the facial nerve are variable, and knowledge of that is essential. The worst impact caused by facial paralysis is related to quality of life, especially regarding the self-esteem and social acceptance on the part of the patients, leading to social isolation and disruption...

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Autores principales: Breno Alexander Bispo, Paulo Eduardo Albuquerque Zito Raffa, Pedro Henrique Simm Pires de Aguiar, André Alexandre Bocchi, Maria Eugênia Martins Publio Correa, Victor de Oliveira Correa, Carlos Alberto de Almeida Castro Junior, Paulo Henrique Pires de Aguiar, Roberto Sergio Martins
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Publicado: Thieme Revinter Publicações Ltda. 2021
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Acceso en línea:https://doaj.org/article/aebab7e2213e4252aa4ea5f0c41045ee
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spelling oai:doaj.org-article:aebab7e2213e4252aa4ea5f0c41045ee2021-11-27T00:19:21ZMasseteric-Facial Anastomosis: A Report of Three Cases0103-53552359-592210.1055/s-0041-1730338https://doaj.org/article/aebab7e2213e4252aa4ea5f0c41045ee2021-08-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730338https://doaj.org/toc/0103-5355https://doaj.org/toc/2359-5922Intoduction The pathways of the facial nerve are variable, and knowledge of that is essential. The worst impact caused by facial paralysis is related to quality of life, especially regarding the self-esteem and social acceptance on the part of the patients, leading to social isolation and disruption on their mental health. Case Report A 33-year-old female patient, with a stage-T3 acoustic neurinoma, presented with a moderate dysfunction (grades II to III) according to the House-Brackmann (HB) Facial Nerve Grading System. A 43-year-old male patient, with a stage-T4B trigeminal schwannoma, underwent a resective surgery and presented grade-VI dysfunction according to the HB scale. And a female patient with a stage-T4A acoustic neurinoma presented grade-IV dysfunction according to the HB scale. Discussion We performed a literature review of papers related to surgeries for masseteric-facial nerve anastomosis and compiled the results in table; then, we compared these data with those obtained from our cases. Conclusion The masseteric nerve is the one that shows the best prognosis among all the cranial nerves that could be used, but it is also necessary to perform well the surgical technique to access the facial branch and consequently achieve a better masseteric-facial nerve anastomosis.Breno Alexander BispoPaulo Eduardo Albuquerque Zito RaffaPedro Henrique Simm Pires de AguiarAndré Alexandre BocchiMaria Eugênia Martins Publio CorreaVictor de Oliveira CorreaCarlos Alberto de Almeida Castro JuniorPaulo Henrique Pires de AguiarRoberto Sergio MartinsThieme Revinter Publicações Ltda.articlefacial paralysisfacial anastomosismasseteric nervenerve graftMedicineRSurgeryRD1-811ENBrazilian Neurosurgery, Vol 40, Iss 04, Pp e380-e386 (2021)
institution DOAJ
collection DOAJ
language EN
topic facial paralysis
facial anastomosis
masseteric nerve
nerve graft
Medicine
R
Surgery
RD1-811
spellingShingle facial paralysis
facial anastomosis
masseteric nerve
nerve graft
Medicine
R
Surgery
RD1-811
Breno Alexander Bispo
Paulo Eduardo Albuquerque Zito Raffa
Pedro Henrique Simm Pires de Aguiar
André Alexandre Bocchi
Maria Eugênia Martins Publio Correa
Victor de Oliveira Correa
Carlos Alberto de Almeida Castro Junior
Paulo Henrique Pires de Aguiar
Roberto Sergio Martins
Masseteric-Facial Anastomosis: A Report of Three Cases
description Intoduction The pathways of the facial nerve are variable, and knowledge of that is essential. The worst impact caused by facial paralysis is related to quality of life, especially regarding the self-esteem and social acceptance on the part of the patients, leading to social isolation and disruption on their mental health. Case Report A 33-year-old female patient, with a stage-T3 acoustic neurinoma, presented with a moderate dysfunction (grades II to III) according to the House-Brackmann (HB) Facial Nerve Grading System. A 43-year-old male patient, with a stage-T4B trigeminal schwannoma, underwent a resective surgery and presented grade-VI dysfunction according to the HB scale. And a female patient with a stage-T4A acoustic neurinoma presented grade-IV dysfunction according to the HB scale. Discussion We performed a literature review of papers related to surgeries for masseteric-facial nerve anastomosis and compiled the results in table; then, we compared these data with those obtained from our cases. Conclusion The masseteric nerve is the one that shows the best prognosis among all the cranial nerves that could be used, but it is also necessary to perform well the surgical technique to access the facial branch and consequently achieve a better masseteric-facial nerve anastomosis.
format article
author Breno Alexander Bispo
Paulo Eduardo Albuquerque Zito Raffa
Pedro Henrique Simm Pires de Aguiar
André Alexandre Bocchi
Maria Eugênia Martins Publio Correa
Victor de Oliveira Correa
Carlos Alberto de Almeida Castro Junior
Paulo Henrique Pires de Aguiar
Roberto Sergio Martins
author_facet Breno Alexander Bispo
Paulo Eduardo Albuquerque Zito Raffa
Pedro Henrique Simm Pires de Aguiar
André Alexandre Bocchi
Maria Eugênia Martins Publio Correa
Victor de Oliveira Correa
Carlos Alberto de Almeida Castro Junior
Paulo Henrique Pires de Aguiar
Roberto Sergio Martins
author_sort Breno Alexander Bispo
title Masseteric-Facial Anastomosis: A Report of Three Cases
title_short Masseteric-Facial Anastomosis: A Report of Three Cases
title_full Masseteric-Facial Anastomosis: A Report of Three Cases
title_fullStr Masseteric-Facial Anastomosis: A Report of Three Cases
title_full_unstemmed Masseteric-Facial Anastomosis: A Report of Three Cases
title_sort masseteric-facial anastomosis: a report of three cases
publisher Thieme Revinter Publicações Ltda.
publishDate 2021
url https://doaj.org/article/aebab7e2213e4252aa4ea5f0c41045ee
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