title: Facial Nerve Reconstruction With Concurrent Masseteric Nerve Transfer and Cable Grafting.
abstract: OBJECTIVE
  Reconstruction of the facial nerve after radical parotidectomy is commonly performed with cable grafting, which is associated with slow recovery of nerve function and synkinesis.
  
  
  OBJECTIVE
  To describe facial nerve reconstruction after radical parotidectomy using concurrent masseteric nerve transfer and cable grafting.
  
  
  METHODS
  This retrospective medical record review at a tertiary referral hospital included 9 patients who underwent concurrent masseteric nerve transfer and cable grafting for facial nerve reconstruction performed by a single surgeon from January 1, 2014, to October 31, 2015. Final follow-up was completed on March 14, 2016.
  
  
  METHODS
  Improvement in resting facial symmetry and oral commissure excursion and synkinesis.
  
  
  RESULTS
  Nine patients (6 women; mean age, 62.6 years; age range, 51-73 years) underwent immediate facial nerve reconstruction after radical parotidectomy using concurrent cable grafting and masseteric nerve transposition. All patients had return of oral commissure motion within 2 to 7 months after surgery with good excursion and minimal synkinesis.
  
  
  CONCLUSIONS
  Masseteric nerve transposition can be combined with cable grafting to improve outcomes in facial rehabilitation after radical parotidectomy.
  
  
  METHODS
  4.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor2Department of Otorhinolaryngology-Head and Neck Surgery, University of Texas Health Sciences Center at Houston.
authors.forename: James A
authors.initials: JA
authors.lastname: Owusu
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor.
authors.forename: Leni
authors.initials: L
authors.lastname: Truong
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor.
authors.forename: Jennifer C
authors.initials: JC
authors.lastname: Kim
mesh_terms: D000368:Aged; D005154:Facial Nerve / Q000601:surgery*; D005158:Facial Paralysis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008406:Masseter Muscle / Q000294:innervation*; D008875:Middle Aged; D016067:Nerve Transfer / Q000379:methods*; D010307:Parotid Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome