[Repair of a facial nerve substance loss by interposition of a collagen neurotube].
We are exposing the case of a 22 year-old patient presenting a wound of the right cheek, with a palsy of the right corner of the mouth. He has been sent to us 6 days after the trauma for secondary exploration. A section of the buccal branch of the right facial nerve with a 1cm gap has been brought out. We have bypassed the loss of substance with a collagen absorbable biological conduit. The 6-months clinical and electromyographic follow-up has shown a clear improvement of the function of the orbicularis oris, as well as its reinnervation by the buccal branch of the right facial nerve.
Service de chirurgie de la main et des brûlés, hôpital Michallon, BP 217, 38043 Grenoble cedex 9, France. Electronic address: ASemere@chu-grenoble.fr.
A
A
Semere
Service de chirurgie plastique maxillo-faciale, hôpital Michallon, BP 217, 38043 Grenoble cedex 9, France.
B
B
Morand
Clinique des Cèdres, 21, rue Albert-Londres, 38432 Echirolles, France.
J
J
Loury
Laboratoire AGIM (AGeing Imaging, Modeling) Lab, faculté de médecine, Bât-Jean-Roget, 38706 La Tronche cedex, France.
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N
Vuillerme
Service de chirurgie plastique maxillo-faciale, hôpital Michallon, BP 217, 38043 Grenoble cedex 9, France.
G
G
Bettega
D003094:Collagen / Q000627:therapeutic use*; D005154:Facial Nerve / Q000601:surgery*; D020220:Facial Nerve Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D055815:Young Adult
D003094:Collagen
Collagen; Collagène; Conduit de régénération nerveuse; Facial nerve; Nerf facial; Nerve gap; Nerve regeneration conduit; Neurotube; Perte de substance nerveuse