Kết quả phẫu thuật nối thần kinh VII và ống tuyến mang tai bằng kỹ thuật vi phẫu tại bệnh viện Việt Đức

Introduction: Failure to promptly diagnose and treat injuries to the facial nerve (FN) and parotid duct (PD) can result in significant functional and aesthetic sequelae. This paper reports the results of microsurgical treatment of such injuries at Viet Duc Hospital. Material and method: Twenty seven patients with complex injuries to the soft tissues (CIST) of the cheek area underwent microsurgical repair for damage to the FN and PD from 10/2004 to 12/2010. There was a minimum of 12 months follow up after surgery. Results: The subjects comprised 24 male and 3 female patients between 19 and 62 years of age. Traffic accidents accounted for 59.3 percent of injuries with the remainder sustained during activities of daily life. Concurrent facial fractures were present in 66.7 percent of patients and 59.3 percent had injuries in other parts of the body including the brain and chest. Damage to the FN and PD were present in 19 and 12 patients respectively. All patients underwent microsurgical repair within 48 hours of the accident with 92.6 percent receiving treatment within 24 hours. Follow up ranged from 12 to 66 months after surgery. In patients treated for FN damage, 88 percent regained near complete function. In patients treated for PD damage, 100 percent regained full function and no complications were observed. Conclusion: OST of the cheek area along with damage to FN and PD are often diagnosed and treated late so patients are usually left with severe physiological and aesthetic sequelae. Microsurgery is the best method to achieve complete recovery of the FN and PD. The combination of high awareness and multidisciplinary collaboration when managing cheek injuries optimises outcomes for FN and PD damage.