Partial hypoglossal to facial nerve anastomosis for reinnervation of the paralyzed face in patients with lower cranial nerve palsies: technical note.
Reanimation of the paralyzed face in patients who have coexisting lower cranial nerve palsies is a difficult management problem. Classic hypoglossal to facial nerve anastomosis may be devastating in these already compromised patients. We describe a technique of partial hypoglossal to facial anastomosis that can preserve hypoglossal nerve function and provide adequate facial reanimation.
Cusimano
M D
MD
Division of Neurosurgery, University of Toronto, St. Michael's Hospital, Ontario, Canada.
Sekhar
L
L
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods*; D005154:Facial Nerve / Q000601:surgery*; D005158:Facial Paralysis / Q000601:surgery*; D006801:Humans; D007002:Hypoglossal Nerve / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D009460:Neurologic Examination; D009464:Neuroma, Acoustic / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation