Effect of postoperative brachytherapy and external beam radiotherapy on functional outcomes of immediate facial nerve repair after radical parotidectomy. Issue 1 (1st June 2013)

• Record Type: Journal Article
• Authors: Hontanilla, Bernardo; Qiu, Shan‐Shan; Marré, Diego
• Is Part Of: Head & neck. Volume 36:Issue 1(2014:Jan.)
• Page Start: 113
• Page End: 119
• Publication Date: 2013-06-01
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.23276
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="hed23276-sec-0001" sec-type="section"> <title>Background</title> <p>There is much controversy regarding the effect of radiotherapy on facial nerve regeneration. However, the effect of brachytherapy has not been studied.</p> </sec> <sec id="hed23276-sec-0002" sec-type="section"> <title>Methods</title> <p>Fifty‐three patients underwent total parotidectomy of which 13 were radical with immediate facial nerve repair with sural nerve grafts. Six patients (group 1) did not receive adjuvant treatment whereas 7 patients (group 2) received postoperative brachytherapy plus radiotherapy. Functional outcomes were compared using Facial Clima.</p> </sec> <sec id="hed23276-sec-0003" sec-type="section"> <title>Results</title> <p>Mean percentage of blink recovery was 92.6 ± 4.2 for group 1 and 90.7 ± 5.2 for group 2 (<italic>p</italic> = .37). Mean percentage of commissural excursion restoration was 78.1 ± 3.5 for group 1 and 74.9 ± 5.9 for group 2 (<italic>p</italic> = .17). Mean time from surgery to first movement was 5.7 ± 0.9 months for group 1 and 6.3 ± 0.5 months for group 2 (<italic>p</italic> = .15).</p> </sec> <sec id="hed23276-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Brachytherapy plus radiotherapy does not affect the functional outcomes of immediate facial nerve repair with nerve grafts. © 2013 Wiley Periodicals, Inc. <italic>Head Neck</italic><bold>36</bold>: 113–119, 2014</p> </sec> </abstract>