Treating defective damage of facial nerve with great auricular nerve grafting covered by pediculated fascial tube

Objective To study the curative effect of grafting great auricular nerve with pediculated fascial tube in defective damage of facial nerve Methods All the 7 patients in this study were treated by grafting great auricular nerve covered by pediculated fascial tube near facial nerve trunk Results Four cases with otogenic facial paralysis had grade Ⅲ~Ⅳ recovery of facial nerve function from two to two and half years after the nerve grafting operation Three patients post traumatic facial paralysis had grade Ⅲ recovery of facial nerve fumction 2 years after the nerve grafting operation Conclusions The grafting of pediculated fascial tube surrounded great auricular nerve can provide a biological environment with better blood supply for the plerosis and regeneration of nerve and can accelerate the functional recovery of nerves after the nerve grafting