Surgical repair of facial nerve defects by an autologous great auricular nerve transplantation: a retrospective, 12-month, follow-up study.
7 affiliations
- 1Department of Stomatology, The First Medical Center of PLA General Hospital, Beijing, China.
- 2Department of Stomatology, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing, China.
- 3Department of Stomatology, Beijing Hospital of Integrated Traditional Chinese and Western Medicine, Beijing, China.
- 4Department of Oral surgery, Peking University School and Hospital of Stomatology, Beijing, China.
- 5National Center of Stomatology, National Clinical Research Center for Oral Diseases, Beijing, China.
- 6National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China.
- 7First Clinical Division, Peking University School and Hospital of Stomatology, Beijing, China.
Abstract
Background
To observe facial nerve function recovery from an autologous great auricular nerve (GAN) transplantation in repairing facial nerve defects.Methods
Thirty-six patients were included. Facial nerve functions were evaluated by using the House-Brackmann grading system. Abnormal sensations after the GAN sacrifice were recorded.Results
The follow-up lasted for an average of 18.5 (12-60) months. Facial nerve defects were caused by parotid gland malignancies (n = 30) or trauma (n = 6), with an average length of 2.6 ± 1.1 (1.0-6.5) cm. One case showed tumor recurrence during the follow-up. Lack of feeling (78.1%) was the dominant postoperative abnormal sensation, followed by lack of sensitivity (53.1%) and abnormal sensation (40.6%). Long facial nerve defects (>3 cm) and preoperative facial paralysis combined with parotid gland malignancies retarded facial nerve function recovery.Conclusion
Autologous GAN transplantation is effective for repairing facial nerve defects and recovering facial nerve function during the 12-month follow-up period.
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BibTeX
@article{liu2026surgical,
title = {{Surgical repair of facial nerve defects by an autologous great auricular nerve transplantation: a retrospective, 12-month, follow-up study.}},
author = {Huawei Liu and Qi Ning and Xiaodan Mu and Wenting Bi and Qingyan Sun and Zhigang Cai and Shijun Li and Xiaofeng Shan and Min Hu},
journal = {Frontiers in oral health},
year = {2026},
month = oct,
doi = {10.3389/froh.2026.1920749},
url = {https://europepmc.org/article/MED/42898287},
note = {CC BY},
}
RIS
TY - JOUR
TI - Surgical repair of facial nerve defects by an autologous great auricular nerve transplantation: a retrospective, 12-month, follow-up study.
AU - Huawei Liu
AU - Qi Ning
AU - Xiaodan Mu
AU - Wenting Bi
AU - Qingyan Sun
AU - Zhigang Cai
AU - Shijun Li
AU - Xiaofeng Shan
AU - Min Hu
PY - 2026
DA - 2026/10/05
JO - Frontiers in oral health
DO - 10.3389/froh.2026.1920749
UR - https://europepmc.org/article/MED/42898287
AB - Background To observe facial nerve function recovery from an autologous great auricular nerve (GAN) transplantation in repairing facial nerve defects.Methods Thirty-six patients were included. Facial nerve functions were evaluated by using the House-Brackmann grading system. Abnormal sensations after the GAN sacrifice were recorded.Results The follow-up lasted for an average of 18.5 (12-60) months. Facial nerve defects were caused by parotid gland malignancies (n = 30) or trauma (n = 6), with an average length of 2.6 ± 1.1 (1.0-6.5) cm. One case showed tumor recurrence during the follow-up. Lack of feeling (78.1%) was the dominant postoperative abnormal sensation, followed by lack of sensitivity (53.1%) and abnormal sensation (40.6%). Long facial nerve defects (>3 cm) and preoperative facial paralysis combined with parotid gland malignancies retarded facial nerve function recovery.Conclusion Autologous GAN transplantation is effective for repairing facial nerve defects and recovering facial nerve function during the 12-month follow-up period.
SN - 2673-4842
ER -