Download PDF
CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2021; 40(04): e380-e386
DOI: 10.1055/s-0041-1730338
Case Report | Relato de Caso

Masseteric-Facial Anastomosis: A Report of Three Cases

Anastomose massetérico-facial: Um relato de três casos
Breno Alexander Bispo 
1   Faculdade de Medicina São Leopoldo Mandic, Campinas, São Paulo, SP, Brazil
,
Paulo Eduardo Albuquerque Zito Raffa 
2   Faculdade de Medicina de Catanduva, Catanduva, São Paulo, SP, Brazil
,
Pedro Henrique Simm Pires de Aguiar 
3   Pontifícia Universidade Católica de São Paulo, Brazil
,
André Alexandre Bocchi 
1   Faculdade de Medicina São Leopoldo Mandic, Campinas, São Paulo, SP, Brazil
,
Maria Eugênia Martins Publio Correa 
4   Faculdade de Medicina, Universidade Santo Amaro, São Paulo, SP, Brazil
,
Victor de Oliveira Correa 
4   Faculdade de Medicina, Universidade Santo Amaro, São Paulo, SP, Brazil
,
Carlos Alberto de Almeida Castro Junior 
5   Fellowship in Neurosurgery, Hospital Santa Paula, São Paulo, São Paulo, SP, Brazil
,
Paulo Henrique Pires de Aguiar 
6   Department of Research and Innovation, Laboratory of Cellular and Molecular Biology, Faculdade de Medicina do ABC, Santo André, São Paulo, SP, Brazil
7   Pain Center and Department of Neurosurgery, Hospital Santa Paula, São Paulo, São Paulo, SP, Brazil
8   Department of Neurology, Faculdade de Medicina de Sorocaba, Pontifícia Universidade Católica de São Paulo, Sorocaba, São Paulo, SP, Brazil
,
Roberto Sergio Martins 
9   Peripheral Nerve Surgery Unit, Division of Functional Neurosurgery, Instituto de Psiquiatria, Faculdade de Medicina da Universidade de São Paulo, São Paulo, São Paulo, SP, Brazil
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Intoduction The pathways of the facial nerve are variable, and knowledge of that is essential. The worst impact caused by facial paralysis is related to quality of life, especially regarding the self-esteem and social acceptance on the part of the patients, leading to social isolation and disruption on their mental health.

Case Report A 33-year-old female patient, with a stage-T3 acoustic neurinoma, presented with a moderate dysfunction (grades II to III) according to the House-Brackmann (HB) Facial Nerve Grading System. A 43-year-old male patient, with a stage-T4B trigeminal schwannoma, underwent a resective surgery and presented grade-VI dysfunction according to the HB scale. And a female patient with a stage-T4A acoustic neurinoma presented grade-IV dysfunction according to the HB scale.

Discussion We performed a literature review of papers related to surgeries for masseteric-facial nerve anastomosis and compiled the results in table; then, we compared these data with those obtained from our cases.

Conclusion The masseteric nerve is the one that shows the best prognosis among all the cranial nerves that could be used, but it is also necessary to perform well the surgical technique to access the facial branch and consequently achieve a better masseteric-facial nerve anastomosis.

Resumo

Intodução As vias do nervo facial são variáveis, e o conhecimento delas é essencial. O pior impacto causado pela paralisia facial está relacionado à qualidade de vida, principalmente no que se refere à autoestima e aceitação social dos pacientes, e leva ao isolamento social e a transtornos na saúde mental.

Relato de caso Paciente do sexo feminino, de 33 anos, com neurinoma acústico de estágio T3, apresentou disfunção moderada (graus II a III) na escala de nervo facial de House-Brackmann (HB). Paciente do sexo masculino, de 43 anos, portador de schwannoma trigeminal de estágio T4B, foi submetido a cirurgia de ressecção do tumor e apresentou, no pós-operatório, disfunção de grau VI na escala de HB. E paciente do sexo feminino com neurinoma acústico de estágio T4A, apresentava disfunção de grau IV na escala de HB.

Discussão Realizamos uma revisão da literatura sobre os principais trabalhos relacionados às cirurgias de anastomose massetérico-facial, compilamos os resultados em uma tabela, e, em seguida, comparamos os dados obtidos com nossos casos.

Conclusão O nervo massetérico é o que apresenta melhor prognóstico entre todas os nervos cranianos que poderiam ser utilizados; entretanto, para isso é necessário realizar uma boa técnica cirúrgica para garantir um adequado acesso ao ramo facial e, consequentemente realizar uma melhor anastomose massetérico-facial

Keywords

facial paralysis - facial anastomosis - masseteric nerve - nerve graft

Palavras-chave

paralisia facial - anastomose facial - nervo massetérico - enxerto de nervo


Publication History

Received: 09 August 2020

Accepted: 22 February 2021

Article published online:
31 August 2021

© 2021. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • References

  • 1 Toulgoat F, Sarrazin JL, Benoudiba F. et al. Facial nerve: from anatomy to pathology. Diagn Interv Imaging 2013; 94 (10) 1033-1042
    CrossrefPubMedSearch in Google Scholar
  • 2 Sanders RD, Gillig PM. The trigeminal (V) and facial (VII) cranial nerves: Head and face sensation and movement. Psychiatry (Edgmont Pa) 2010; 7 (01) 13-16
    PubMedSearch in Google Scholar
  • 3 Batista KT, Cauhi AF. Surgical rehabilitation for facial paralysis. Rev Bras Cir Plást 2007; 22 (04) 253-260
    PubMedSearch in Google Scholar
  • 4 House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg 1985; 93 (02) 146-147
    CrossrefPubMedSearch in Google Scholar
  • 5 Davies J, Al-Hassani F, Kannan R. Facial nerve disorder: a review of the literature. Int J Surg Oncol (NY) 2018; 3 (07) e65
    CrossrefPubMedSearch in Google Scholar
  • 6 Jeziorowski A, Tirapelle R, Saciloto A. et al. Masseteric-facial anastomosis on treatment of facial palsy. ACM Arq Catarin Med 2007; 36 (sulp. 1): 165-168
    PubMedSearch in Google Scholar
  • 7 Xu ZJ, Chen LS, Zhan JD. et al. [Modified rhytidectomy incision and modified Blair incision contrast research in superficial parotid gland tumor resection]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017; 31 (21) 1684-1687
    CrossrefPubMedSearch in Google Scholar
  • 8 Sakthivel P, Singh CA, Thakar A, Thirumeni G, Raveendran S, Sharma SC. Masseteric-Facial Nerve Anastomosis: Surgical Techniques and Outcomes-A Pilot Indian study. Indian J Otolaryngol Head Neck Surg 2020; 72 (01) 92-97
    CrossrefPubMedSearch in Google Scholar
  • 9 Wu H, Zhang L, Han D. et al. Summary and consensus in 7th International Conference on acoustic neuroma: An update for the management of sporadic acoustic neuromas. World J Otorhinolaryngol Head Neck Surg 2016; 2 (04) 234-239
    Search in Google Scholar
  • 10 Lee YS, Ahn JH, Park HJ. et al. Dual Coaptation of Facial Nerve Using Masseteric Branch of Trigeminal Nerve for Iatrogenic Facial Palsy: Preliminary Reports. Ann Otol Rhinol Laryngol 2020; 129 (05) 505-511
    CrossrefPubMedSearch in Google Scholar
  • 11 Bianchi B, Varazzani A, Pedrazzi G. et al. Masseteric cooptation and crossfacial nerve grafting: Is it still applicable 22 months after the onset of facial palsy?. Microsurgery 2018; 38 (08) 860-866
    CrossrefPubMedSearch in Google Scholar
  • 12 Altamami NM, Zaouche S, Vertu-Ciolino D. A comparative retrospective study: hypoglossofacial versus masseterofacial nerve anastomosis using Sunnybrook facial grading system. Eur Arch Otorhinolaryngol 2019; 276 (01) 209-216
    CrossrefPubMedSearch in Google Scholar
  • 13 Vincent AG, Bevans SE, Robitschek JM, Wind GG, Hohman MH. Masseteric-to-Facial Nerve Transfer and Selective Neurectomy for Rehabilitation of the Synkinetic Smile. JAMA Facial Plast Surg 2019; 21 (06) 504-510
    CrossrefPubMedSearch in Google Scholar
  • 14 Biglioli F, Soliman M, El-Shazly M. et al. Use of the masseteric nerve to treat segmental midface paresis. Br J Oral Maxillofac Surg 2018; 56 (08) 719-726
    CrossrefPubMedSearch in Google Scholar
  • 15 Biglioli F, Allevi F, Rabbiosi D. et al. Triple innervation for re-animation of recent facial paralysis. J Craniomaxillofac Surg 2018; 46 (05) 851-857
    CrossrefPubMedSearch in Google Scholar
  • 16 Hontanilla B, Olivas J, Cabello Á, Marré D. Cross-Face Nerve Grafting versus Masseteric-to-Facial Nerve Transposition for Reanimation of Incomplete Facial Paralysis: A Comparative Study Using the FACIAL CLIMA Evaluating System. Plast Reconstr Surg 2018; 142 (02) 179e-191e
    CrossrefPubMedSearch in Google Scholar
  • 17 Gray ML, Hu S, Gorbea E, Mashkevich G. Masseteric-zygomatic nerve transfer for the management of eye closure-smile excursion synkinesis. [published online ahead of print, 2020 Apr 4] Am J Otolaryngol 2020; 41 (04) 102479
    CrossrefPubMedSearch in Google Scholar