Immediate Gore-Tex sling suspension for management of facial paralysis in head and neck extirpative surgery

We sought to evaluate the functional and aesthetic outcomes of immediate facial reconstruction with a Gore-Tex (expanded polytetrofluoroethylene) sling in irradiated patients undergoing large head and neck tumor extirpation with facial nerve resection. We conducted a retrospective study of 17 patien...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2007-08, Vol.137 (2), p.228-232
Main Authors: Skourtis, Mia E., Weber, Stephen M., Kriet, J. David, Girod, Douglas A., Tsue, Terance T., Wax, Mark K.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biocompatible Materials
Facial Paralysis - etiology
Facial Paralysis - surgery
Female
Head and Neck Neoplasms - radiotherapy
Head and Neck Neoplasms - surgery
Humans
Male
Middle Aged
Polytetrafluoroethylene
Postoperative Complications
Prostheses and Implants
Retrospective Studies
Treatment Outcome
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Summary:We sought to evaluate the functional and aesthetic outcomes of immediate facial reconstruction with a Gore-Tex (expanded polytetrofluoroethylene) sling in irradiated patients undergoing large head and neck tumor extirpation with facial nerve resection. We conducted a retrospective study of 17 patients at two academic institutions who underwent extirpative surgery with immediate Gore-Tex sling reconstruction and completed radiotherapy. Functional and aesthetic results were evaluated at three intervals. All patients had excellent immediate results and good or excellent intermediate-term results. At long-term follow-up, results were good to excellent in 47% and unacceptable in 35% of patients. In irradiated patients undergoing total parotidectomy with immediate facial reconstruction using Gore-Tex slings, early results are excellent, but there is a high incidence of major wound complications and unacceptable results in long-term follow-up. There is a high rate of late complications associated with immediate facial reconstruction with Gore-Tex slings in irradiated patients.
ISSN:0194-5998
1097-6817
DOI:10.1016/j.otohns.2007.03.013