Reanimation of the paralyzed face by indirect hypoglossal-facial nerve anastomosis - 03/09/11
, Carien H.G Beurskens a, Caroline van de Velde a, Robert J Stokroos, M.D., Ph.D. aAbstract |
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.
Le texte complet de cet article est disponible en PDF.Keywords : Facial paralysis, Reanimation, Hypoglossal nerve, Facial nerve, Nerve graft, End-to-side anastomosis
Plan
Vol 182 - N° 3
P. 268-273 - septembre 2001 Retour au numéro
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