Arch Craniofac Surg.  2024 Apr;25(2):99-103. 10.7181/acfs.2023.00234.

Sural nerve grafts in subacute facial nerve injuries: a report of two cases

• Jeong J
• Chang Y
• Kim K
• Chung CH
• Jung S

• KMID: 2554916
• DOI: http://doi.org/10.7181/acfs.2023.00234

Abstract

Because facial nerve injuries affect the quality of life, leaving them untreated can have devastating effects. The number of patients with traumatic and iatrogenic facial nerve paralysis is considerably high. Early detection and prompt treatment during the acute injury phase are crucial, and immediate surgical treatment should be considered when complete facial nerve injury is suspected. Symptom underestimation by patients and clinical misdiagnosis may delay surgical intervention, which may negatively affect outcomes and in some cases, impair the recovery of the injured facial nerve. Here, we report two cases of facial nerve injury that were treated with nerve grafts during the subacute phase. In both cases, subacute facial nerve grafting achieved significant improvements. These cases highlight surgical intervention in the subacute phase using nerve grafts as an appropriate treatment for facial nerve injuries.

Keyword

Case reports / Facial nerve / Facial nerve injuries / Trauma, nervous system