Saleh, M., Ghanem, A., Abou Shanab, G. (2020). Combined Traumatic Facial Nerve Repair and Maxillofacial Fractures: Long Term Follow-Up. The Egyptian Journal of Plastic and Reconstructive Surgery, 44(2), 289-302. doi: 10.21608/ejprs.2020.112521
Mohamed A. A. Saleh; Amr A. Ghanem; Ghada M. Abou Shanab. "Combined Traumatic Facial Nerve Repair and Maxillofacial Fractures: Long Term Follow-Up". The Egyptian Journal of Plastic and Reconstructive Surgery, 44, 2, 2020, 289-302. doi: 10.21608/ejprs.2020.112521
Saleh, M., Ghanem, A., Abou Shanab, G. (2020). 'Combined Traumatic Facial Nerve Repair and Maxillofacial Fractures: Long Term Follow-Up', The Egyptian Journal of Plastic and Reconstructive Surgery, 44(2), pp. 289-302. doi: 10.21608/ejprs.2020.112521
Saleh, M., Ghanem, A., Abou Shanab, G. Combined Traumatic Facial Nerve Repair and Maxillofacial Fractures: Long Term Follow-Up. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 44(2): 289-302. doi: 10.21608/ejprs.2020.112521
Combined Traumatic Facial Nerve Repair and Maxillofacial Fractures: Long Term Follow-Up
1The Department of Plastic, Reconstruction, Maxillofacial Surgeries & Burn Management, Faculty of Medicine, Ain Shams University
2The Department of Oral & Maxillofacial SurgeryFaculty of Dentistry
3The Department of Rheumatology & Rehabilitation , Faculty of Medicine; Ain Shams University, Cairo, Egypt
Abstract
Maxillofacial fractures management is considered a great challenge to facial plastic and reconstructive surgeons. They inquire adequate and systematic patient assessment to exclude involvement of facial neurovascular structures and the airway injuries. Types of fixation differ whether rigid or semi rigid fixation is used according to the degree of comminusion, site and shape of the fracture. The etiology of facial nerve palsy include: Idiopathic, post traumatic, neoplastic, etc... The traumatic injuries are the second most common, caused by personnel assaults, accidental at work or due to road traffic accidents. Searching in the English written literature it is not mentioned the outcome of primary traumatic facial nerve repair combined with complex maxillofacial injuries. The aim of the study is to investigate the long term functional outcome of traumatic facial nerve and maxillofacial fractures reconstruction. The study reviewed 16 patients with nerve injury and varies types of maxillofacial fractures, at El Demerdash Ain Shams University Hospital between June 2015 and October 2019. Only patients diagnosed with facial nerve main trunk or its branches after examination were included in the study. Only patients with followed-up data for at least 18 months were included. All patients was examined in the post-operative period and assessment was done using the House-Brackmann classification 11 and CT facial bone Patients demographic, history, physical and clinical examination, clinical photographs and surgical procedures (number and type) and complications were collected. This study revealed that the long term follow-up for patients with repaired facial nerve and varies maxillofacial fractures had promising esthetic and functional with a mean the post-operative objective House-Brackmann score analysis was 2.56 (±0.51). Further multi centric study is suggested to investigate the relation between the type of trauma, results and different nerves involved and this could be achieved by increasing the number of patients to be included in the future study.
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