title: Sensitive and Motor Neuroanastomosis After Facial Trauma.
abstract: Facial nerve has great functional and aesthetic importance to the face, and damage to its structure can lead to major complications. This article reports a clinical case of neuroanastomosis of the facial nerve after facial trauma, describing surgical procedure and postoperative follow-up. A trauma patient with extensive injury cut in right mandibular body causing neurotmesis of the VIIth cranial nerve and mandibular angle fracture right side was treated. During surgical exploration, the nerve segments were identified and a neuroanastomosis was performed using nylon 10-0, after reduction and internal fixation of the mandibular fracture. Postoperatively, an 8-month follow-up showed good evolution and preservation of motor function of the muscles of facial mime, highlighting the success of the surgical treatment. Nerve damage because of facial trauma can be a surgical treatment challenge, but when properly conducted can functionally restore the damaged nerve.
authors.affiliation: *Department of Oral and Maxillofacial Surgery, Sagrado Coração University, Bauru, São Paulo†MSD Program in Oral and Maxillofacial Surgery, Sagrado Coração University, Bauru, São Paulo‡PhD Program in Oral and Maxillofacial Surgery, Sagrado Coração University, Bauru, São Paulo§Instituto Latino Americano de Pesquisa Odontológica, Curitiba, Paraná, Brazil.
authors.forename: Paulo Domingos
authors.initials: PD
authors.lastname: Ribeiro-Junior
authors.forename: Ricardo Alexandre Galdioli
authors.initials: RA
authors.lastname: Senko
authors.forename: Gabriel Cury Batista
authors.initials: GC
authors.lastname: Mendes
authors.forename: Fernando Gianzanti
authors.initials: FG
authors.lastname: Peres
mesh_terms: D000293:Adolescent; D005154:Facial Nerve / Q000000981:diagnostic imaging*; D020220:Facial Nerve Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005158:Facial Paralysis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008334:Mandible / Q000601:surgery; D008335:Mandibular Condyle / Q000601:surgery; D008337:Mandibular Fractures / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures