Facial Reanimation and Reconstruction of the Radical Parotidectomy.
Radical parotidectomy may result from treating advanced parotid malignancies invading the facial nerve. Survival is often enhanced with multimodality treatment protocols, including postoperative radiation therapy. In addition to the reconstructive challenge of restoring facial nerve function, patients may be left with a significant cervicofacial concavity and inadequate skin coverage. This should be addressed with stable vascularized tissue that is resistant to radiation-induced atrophy. This article describes a comprehensive strategy, includes the use of the anterolateral thigh free flap, the temporalis regional muscle transfer, motor nerve to vastus lateralis grafts, nerve to masseter transfer, and fascia lata grafts for static suspension.
['David|Abel P|AP|', 'Seth|Rahul|R|', 'Knott|Philip Daniel|PD|']
D058752:Free Tissue Flaps D006801:Humans D010306:Parotid Gland D010307:Parotid Neoplasms D019651:Reconstructive Surgical Procedures D013848:Thigh
Facial reanimation Reconstruction Radical parotidectomy Facial nerve Microvascular surgery Parotid defects