Hypoglossal-facial nerve anastomosis. Clinical observation.
We have reviewed 35 cases of hypoglossal-facial nerve anastomosis performed during the past 15 years for irreversible peripheral facial paralysis caused by surgery for acoustic neuroma. Of 27 patients who were followed more than 1 year after anastomosis, recovery of serviceable facial function was obtained in 25 (92.6%). Neural deficits secondary to transection of the hypoglossal-facial nerve were minimal or acceptable in most cases. The overall results were better in patients who underwent this procedure within 3 months after surgery for acoustic neuroma as compared with those who did so after 1 year or more. The 2 patients who underwent intracranial facial nerve reconstruction during surgery for acoustic neuroma and showed poor facial recovery have presented a challenge to our strategy in the treatment of such patients.
Kunihiro
T
T
Department of Otolaryngology, School of Medicine, Keio University, Tokyo, Japan.
Kanzaki
J
J
O-Uchi
T
T
D000293:Adolescent; D000328:Adult; D005154:Facial Nerve / Q000502:physiology / Q000601:surgery*; D005158:Facial Paralysis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007002:Hypoglossal Nerve / Q000502:physiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009416:Nerve Regeneration; D016067:Nerve Transfer; D009464:Neuroma, Acoustic / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery