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July 1980

Cable Grafting and Irradiation

Author Affiliations

Winston-Salem, NC

Arch Otolaryngol. 1980;106(7):445. doi:10.1001/archotol.1980.00790310069020

To the Editor.—In their article in the August Archives (105:441-446, 1979), "Extratemporal Facial Nerve Grafting and Radiotherapy," Pillsbury and Fisch concluded that "radiotherapy had a detrimental influence on the return of facial movements after extratemporal facial nerve grafting."

Since 1977, when Dr McCabe and I reported on cable nerve grafting and irradiation in cats,1 I have performed five total parotidectomies followed by interposition cable grafting and postoperative irradiation. Four cases were epidermoid carcinoma and one was adenoid cystic carcinoma. The dose in each patient was 6,000 rads delivered during six weeks. Three of the patients, all of whom were older than 55 years, had less than satisfactory results. The other two, both younger than 45 years, have good facial function with symmetry at rest, eyelid closure and protection, no loss of fluid on eating, and mimetic function.

The dynamic activity in the two patients with good function after

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