[Hemi-hypoglossal-facial intratemporal side to side anastomosis].
Conventional hypoglossal-facial anastomosis and the interposition jump graft variation are the most popular techniques for facial nerve reconstruction resulting from proximal facial nerve injury. We present a modification of this technique, the hemi-hypoglossal facial intratemporal side to side anastomosis, which overcomes many of the failings of previous techniques. The method involves mobilization of the intratemporal facial nerve, which is anastomosed to a partially incised hypoglossal nerve. It is especially indicated in patients with multiple cranial nerve palsies.
Lassaletta
Luis
L
Servicio de Otorrinolaringología, Hospital Universitario La Paz, Madrid, Spain. luikilassa@yahoo.com
González
Teresa
T
Casas
Pablo
P
Roda
José María
JM
Moraleda
Susana
S
Gavilán
Javier
J
D000714:Anastomosis, Surgical / Q000379:methods; D003389:Cranial Nerve Diseases / Q000601:surgery*; D005154:Facial Nerve / Q000601:surgery*; D005158:Facial Paralysis / Q000601:surgery*; D006801:Humans; D007002:Hypoglossal Nerve / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods