Postoperative functional evaluation of different reanimation techniques for facial nerve repair - 17/08/11
, Michael Streppel, M.D., Eberhard Stennert, M.D.
Corresponding author. Tel.: +49-221-478-4760; fax: +49-221-478-4721.Abstract |
Background |
The facial nerve function after facial-facial nerve anastomosis, grafting, hypoglossal-facial nerve anastomosis, hypoglossal-facial interpositional jump nerve anastomosis, or a combined approach was analyzed.
Methods |
Facial function was assessed after operation using a 7-point visual analog scale (VAS) and by electromyography (EMG) in 53 patients. The final result was judged by May’s facial nerve grading system.
Results |
Voluntary EMG activity occurred on average 4.52 ± 1.31 months after operation. Initial facial movements were visible after 5.41 ± 1.80 months. Facial function related to the VAS finally reached 44% of normal value. The result was judged May’s grade I in 13%, grade II in 34%, grade III in 28%, and grade IV in 25% of patients. A significant difference in outcome between different reconstruction types was not seen. Age over 60 years was related to worse outcome.
Conclusions |
A correct selection of the best method in the individual situation presumed, all analyzed facial reanimation techniques seem to lead nearly similar and satisfactory results.
Le texte complet de cet article est disponible en PDF.Keywords : Facial nerve, Facial paralysis, Nerve repair, Hypoglossal nerve, Nerve graft, Nerve anastomosis
Plan
Vol 191 - N° 1
P. 61-67 - janvier 2006 Retour au numéro
Article précédent
- Correlation of nipple aspiration and ductal lavage cytology with histopathologic findings for patients before scheduled breast biopsy examination
- Kristine E. West, Eva M. Wojcik, Teri A. Dougherty, Kalliopi P. Siziopikou, Kathy S. Albain, Sheryl G.A. Gabram
- Comparison of holding power of metal and absorbable hemostatic clips
- Tzu-Chi Hsu
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?