[Postoperative effect analysis of different surgical techniques used in facial nerve reconstruction].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 38(5): 385-390, 2024 May.
Article
de Zh
| MEDLINE
| ID: mdl-38686474
ABSTRACT
Objective:
To investigate the factors and efficacy of different surgical techniques used in facial nerveï¼FNï¼ reconstruction.Methods:
A retrospective analysis was conducted on 24 patients who underwent facial nerve reconstruction surgery in our department from January 2016 to January 2021. The duration of total facial nerve paralysis was less than 18 months. The study included 5 surgical techniques, including 6 cases of FN anastomosisï¼Group Aï¼, 5 cases of FN graftingï¼sural nerve or great auricular nerveï¼ï¼Group Bï¼, 5 cases of side-to-end facial-hypoglossal nerve anastomosisï¼Group Cï¼, 4 cases of side-to-end FN graftingï¼sural nerve or great auricular nerveï¼ hypoglossal nerve anastomosisï¼Group Dï¼, and 4 cases of dual nerve reanimationï¼Group Eï¼. The postoperative follow-up period was ≥1 year.Results:
The HB-â ¢ level of FN function at 1 year after surgery was 83.3%ï¼5/6ï¼ in group A, 60.0%ï¼3/5ï¼ in group B, 40.0%ï¼2/5ï¼ in group C, 25.0%ï¼1/4ï¼ in group D, and 50.0%ï¼2/4ï¼ in group E. In patients without multiple FN repair, the incidence of synkinesis was 15.0%ï¼3/20ï¼, while no cases of synkinesis were observed in patients with dual nerve reanimation. The patients who underwent hypoglossal-facial side-to-end anastomosis showed no hypoglossal nerve dysfunction.Conclusion:
Different FN repair techniques result in varying postoperative FN function recovery, as personalized repair should be managed. Among the various techniques, FN end-to-end anastomosis after FN transposition is recommended as to reduce the number of anastomotic stoma, while hypoglossal-facial side-to-end anastomosis is advocated as to prevent postoperative hypoglossal nerve dysfunction. Additionally, dual nerve repair can effectively improve smile symmetry and reduce synkinesis, which enhances patients' quality.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Anastomose chirurgicale
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Nerf facial
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Paralysie faciale
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Nerf hypoglosse
Limites:
Adult
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Female
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Humans
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Male
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Middle aged
Langue:
Zh
Journal:
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
Année:
2024
Type de document:
Article