End-to-side nerve graft for facial nerve reconstruction

Masao Kakibuchi, Kojiro Tuji, Kenji Fukuda, Tomonori Terada, Nobuyuki Yamada, Ken Matsuda, Ken Ichiro Kawai, Masafumi Sakagami

    Research output: Contribution to journalArticlepeer-review

    24 Citations (Scopus)


    Reconstruction of multiple branches of the facial nerve by sural nerve graft using end-to-side nerve suture was performed successfully on a patient with advanced parotid tumor. In this technique, one end of the grafted nerve is sutured with the stump of the facial nerve trunk in an end-to-end manner. Epineural windows are made on the nerve graft, and the distal stumps of the facial nerve branches (temporal, zygomatic, and buccal branches) are sutured with the graft in an end-to-side manner. Functional recovery of all branches and satisfactory facial expression were obtained within 2 years postoperatively. Axonal regeneration through the graft was confirmed by electrodiagnosis. Regeneration through the anastomosis at the stump of the facial nerve trunk using this technique is more efficient than conventional cable grafting, and the length of the nerve required is minimal. This technique may be a useful option for facial nerve reconstruction managing multiple branches.

    Original languageEnglish
    Pages (from-to)496-500
    Number of pages5
    JournalAnnals of Plastic Surgery
    Issue number5
    Publication statusPublished - 2004 Nov

    ASJC Scopus subject areas

    • Surgery


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