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Frontal Sinirin Acil Onarımı Yüz Reanimasyonunun Erken Geri Dönüşümünde Etkilidir: Vaka Raporu ve Literatür Taraması

Year 2023, Volume: 10 Issue: 2, 123 - 125, 21.08.2023
https://doi.org/10.47572/muskutd.1091535

Abstract

Frontal sinirin hasarı yüzde kalıcı asimetriye sebep olabilmektedir. Bunun sonucunda hastaların sosyal hayatı ve psikolojisi ciddi derecede etkilenmektedir. Frontal sinirin erken dönem onarımlarının geç döneme göre daha etkili olduğu bilinmektedir. Literatürde acil müdahale sonucu frontal sinirin fonksiyonunun ne kadar süre içerisinde geri geldiği bilinmemektedir. Olguda 27 yaşında bir erkek hastanın travma sonrası sağ frontotemporalkesisi meydana gelmiştir. Hastanın acil müdahalesi yapılmış, sinir mikroskop altında eksplore edilmiştir. Frontal sinirin, cilt kesisinin her iki yanındaki uçları görülerek onarımı yapılmıştır. Hastanın 1 hafta sonraki kontrolünde kaşlarının hareket etmeye başladığı bildirilmiş, 1 ay sonra ise tama yakın fonksiyon kazandığı görülmüştür. House-Brackmann Evre VI olan sinir hasarının direkt onarımı sonrasında 1 ay içerisinde Evre II’ye geldiği görülmüştür. Sonuç olarak frontal sinir kesilerinde acil müdahalenin yüz hareketlerinde tama yakın geri dönüşün sağlanmasında etkili olduğu gösterilmiştir.

Thanks

Değerli hemşirem Fulya Zeybek'e mikrocerrahi gerektiren bu acil ameliyatta beni asiste ettiği için teşekkür ederim

References

  • 1. Zhang W, Xu L, Luo T, et al. The etiology of Bell’s palsy: a review. J Neurol. 2020;267(7):1896-905.
  • 2. Davies J, Al-Hassani F, Kannan R. Facial nerve disorder: a review of the literature. Int. J. Surg. Oncol. 2018;3(7):65. 3. Myckatyn TM, Mackinnon SE. A Review of Facial Nerve Anatomy. Semin Plast Surg. 2004;18(1):5-12.
  • 4. Li L, Fan Z, Wang H, et al. Efficacy of surgical repair for the functional restoration of injured facial nerve. BMC Surg. 2021;21(1):32.
  • 5. Shafaiee Y, Shahbazzadegan B. Facial nerve laceration and its repair. Trauma Mon. 2016;21(2):20-2.
  • 6. Surgery M. Facial reanimation through nerve repair : A review literature. 2020;7(4):1499-504.
  • 7. Kannan RY, Hills A, Shelley MJ, et al. Immediate compared with late repair of extracranial branches of the facial nerve: A comparative study. Br J Oral Maxillofac Surg. 2020;58(2):163-9. 8. Nakamura Y, Takanari K, Ebisawa K, et al. Repair of temporal branch of the facial nerve with novel polyglycolic acid-collagen tube: A case report of two cases. Nagoya J Med Sci. 2020;82(1):123-8.
  • 9. McGee DL, Dalsey WC. The mangled extremity. Compartment syndrome and amputations. Emerg Med Clin North Am. 1992;10(4):783-800.
  • 10. McElwee TJ, Poche JN, Sowder JC, et al. Management of acute facial nerve and parotid injuries. Facial Plast Surg. 2021;37(4):490-9.
  • 11. Sánchez-Ocando M, Gavilán J, Penarrocha J, et al. Facial nerve repair: the impact of technical variations on the final outcome. Eur Arch Otorhinolaryngol. 2019;276(12):3301-8.
  • 12. Condie D, Tolkachjov SN. Facial nerve injury and repair: a practical review for cutaneous surgery. Dermatol Surg. 2019;45(3):340-57.
  • 13. Emamhadi MR, Mahmoudi D. Recovery of facial nerve paralysis after temporal nerve reconstruction: A case report. Trauma Mon. 2015;20(4):4-6.

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

Year 2023, Volume: 10 Issue: 2, 123 - 125, 21.08.2023
https://doi.org/10.47572/muskutd.1091535

Abstract

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.

References

  • 1. Zhang W, Xu L, Luo T, et al. The etiology of Bell’s palsy: a review. J Neurol. 2020;267(7):1896-905.
  • 2. Davies J, Al-Hassani F, Kannan R. Facial nerve disorder: a review of the literature. Int. J. Surg. Oncol. 2018;3(7):65. 3. Myckatyn TM, Mackinnon SE. A Review of Facial Nerve Anatomy. Semin Plast Surg. 2004;18(1):5-12.
  • 4. Li L, Fan Z, Wang H, et al. Efficacy of surgical repair for the functional restoration of injured facial nerve. BMC Surg. 2021;21(1):32.
  • 5. Shafaiee Y, Shahbazzadegan B. Facial nerve laceration and its repair. Trauma Mon. 2016;21(2):20-2.
  • 6. Surgery M. Facial reanimation through nerve repair : A review literature. 2020;7(4):1499-504.
  • 7. Kannan RY, Hills A, Shelley MJ, et al. Immediate compared with late repair of extracranial branches of the facial nerve: A comparative study. Br J Oral Maxillofac Surg. 2020;58(2):163-9. 8. Nakamura Y, Takanari K, Ebisawa K, et al. Repair of temporal branch of the facial nerve with novel polyglycolic acid-collagen tube: A case report of two cases. Nagoya J Med Sci. 2020;82(1):123-8.
  • 9. McGee DL, Dalsey WC. The mangled extremity. Compartment syndrome and amputations. Emerg Med Clin North Am. 1992;10(4):783-800.
  • 10. McElwee TJ, Poche JN, Sowder JC, et al. Management of acute facial nerve and parotid injuries. Facial Plast Surg. 2021;37(4):490-9.
  • 11. Sánchez-Ocando M, Gavilán J, Penarrocha J, et al. Facial nerve repair: the impact of technical variations on the final outcome. Eur Arch Otorhinolaryngol. 2019;276(12):3301-8.
  • 12. Condie D, Tolkachjov SN. Facial nerve injury and repair: a practical review for cutaneous surgery. Dermatol Surg. 2019;45(3):340-57.
  • 13. Emamhadi MR, Mahmoudi D. Recovery of facial nerve paralysis after temporal nerve reconstruction: A case report. Trauma Mon. 2015;20(4):4-6.
There are 11 citations in total.

Details

Primary Language English
Subjects Surgery
Journal Section Case Report
Authors

Mehmet Altıparmak 0000-0002-9971-7137

Ömer Doğan Alataş 0000-0003-1574-3846

Publication Date August 21, 2023
Submission Date April 8, 2022
Published in Issue Year 2023 Volume: 10 Issue: 2

Cite

APA Altıparmak, M., & Alataş, Ö. D. (2023). Immediate Frontal Nerve Repair Produces Early Facial Reanimation: A Case Report and Literature Review. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, 10(2), 123-125. https://doi.org/10.47572/muskutd.1091535
AMA Altıparmak M, Alataş ÖD. Immediate Frontal Nerve Repair Produces Early Facial Reanimation: A Case Report and Literature Review. MMJ. August 2023;10(2):123-125. doi:10.47572/muskutd.1091535
Chicago Altıparmak, Mehmet, and Ömer Doğan Alataş. “Immediate Frontal Nerve Repair Produces Early Facial Reanimation: A Case Report and Literature Review”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 10, no. 2 (August 2023): 123-25. https://doi.org/10.47572/muskutd.1091535.
EndNote Altıparmak M, Alataş ÖD (August 1, 2023) Immediate Frontal Nerve Repair Produces Early Facial Reanimation: A Case Report and Literature Review. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 10 2 123–125.
IEEE M. Altıparmak and Ö. D. Alataş, “Immediate Frontal Nerve Repair Produces Early Facial Reanimation: A Case Report and Literature Review”, MMJ, vol. 10, no. 2, pp. 123–125, 2023, doi: 10.47572/muskutd.1091535.
ISNAD Altıparmak, Mehmet - Alataş, Ömer Doğan. “Immediate Frontal Nerve Repair Produces Early Facial Reanimation: A Case Report and Literature Review”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 10/2 (August 2023), 123-125. https://doi.org/10.47572/muskutd.1091535.
JAMA Altıparmak M, Alataş ÖD. Immediate Frontal Nerve Repair Produces Early Facial Reanimation: A Case Report and Literature Review. MMJ. 2023;10:123–125.
MLA Altıparmak, Mehmet and Ömer Doğan Alataş. “Immediate Frontal Nerve Repair Produces Early Facial Reanimation: A Case Report and Literature Review”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, vol. 10, no. 2, 2023, pp. 123-5, doi:10.47572/muskutd.1091535.
Vancouver Altıparmak M, Alataş ÖD. Immediate Frontal Nerve Repair Produces Early Facial Reanimation: A Case Report and Literature Review. MMJ. 2023;10(2):123-5.