Reanimation of the paralyzed face by indirect hypoglossal-facial nerve anastomosis.
Am J Surg
; 182(3): 268-73, 2001 Sep.
Article
in En
| MEDLINE
| ID: mdl-11587691
ABSTRACT
BACKGROUND:
The results of indirect hypoglossal facial nerve anastomosis with interposition of a free nerve graft, end-to-end to the periferal facial nerve stump, and end-to-side to the hypoglossal nerve are prospectively evaluated. This technique is supposed to overcome loss of hypoglossal function.METHODS:
Tongue function in 39 consecutive patients and facial reanimation in 29 patients who completed 24 months follow-up were assessed. Facial nerve function was judged using the House-Brackmann (HB) grading system.RESULTS:
Tongue movements were normal in all operated on patients. Initial facial movements occurred on average 7.5 months postoperatively. The results were graded HB II in 6 (20.9%), HB III in 13 (44.6%), HB IV in 7 (24.1%), HB V in 2 (6.8%) patients, and HB VI in 1 (3.4%) patient. The results were significantly better in young patients and when a short time interval between paralysis and surgery existed.CONCLUSIONS:
Indirect hypoglossal-facial anastomosis is the preferred technique in most patients for whom the classical direct hypoglossofacial anastomosis is indicated.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Facial Nerve
/
Facial Paralysis
/
Hypoglossal Nerve
Type of study:
Observational_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Child
/
Humans
/
Middle aged
Language:
En
Journal:
Am J Surg
Year:
2001
Type:
Article
Affiliation country:
Netherlands