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

Mia E. Skourtis, Stephen M. Weber, J. David Kriet, Douglas A. Girod, Terance T. Tsue, Mark K. Wax

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Objective: 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. Study Design and Setting: 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. Results: 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. Conclusion: 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. Significance: There is a high rate of late complications associated with immediate facial reconstruction with Gore-Tex slings in irradiated patients.

Original languageEnglish (US)
Pages (from-to)228-232
Number of pages5
JournalOtolaryngology - Head and Neck Surgery
Volume137
Issue number2
DOIs
StatePublished - Aug 1 2007

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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