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May 1965

Extratemporal Repair of The Facial Nerve

Author Affiliations

From the Clinic of Otorhinolaryngology, University of Gottingen.

Arch Otolaryngol. 1965;81(5):534-535. doi:10.1001/archotol.1965.00750050547024

THE SURGICAL treatment of parotid tumors has been greatly modified since the recognition that the gland has two lobes and since Hamilton Bailey advocated preservation of the facial nerve during parotidectomy. However, if malignancies are to be successfully excised, facial-nerve preservation must be relegated to a secondary place. Sometimes, to accomplish radical removal, various branches of the facial nerve or even the entire trunk may have to be sacrificed. Accordingly, it becomes necessary to undertake the reconstruction of the thin facial nerve during its branching course through the parotid-masseteric region in all those cases in which tumor excision is known to have extended into healthy tissue.

A review is presented of reconstructive procedures used following lesions of the extra-temporal portion of the facial nerve. These reconstructive measures are taken mainly in two situations: (a) after radical surgery for malignant parotid tumors, deliberately sacrificing the facial nerve; and (b) following deep