Treating facial nerve palsy by true termino-lateral hypoglossal-facial nerve anastomosis.
Hypoglossal-facial nerve anastomosis is a time-proven technique for the repair of facial nerve palsy. Efforts have been made to reduce hypoglossal nerve injury, the main drawback of the technique. In this study, the anastomosis is a true termino-lateral neurorrhaphy with only an epineural window in the hypoglossal nerve sheath. A re-routing technique of the temporal facial nerve is also performed to allow a direct anastomosis to the hypoglossal nerve without the need for a jump graft. The first three results reported are very encouraging, with a satisfactory return of facial mimics and without any impairment of lingual function.
Sleilati
F H
FH
Plastic and Maxillofacial Surgery Department, Hôtel Dieu de France Hospital, Alfred Naccache Boulevard, Achrafieh, Lebanon. fsleilati@yahoo.fr
Nasr
M W
MW
Stephan
H A
HA
Asmar
Z D
ZD
Hokayem
N E
NE
D000328:Adult; D000714:Anastomosis, Surgical; D005154:Facial Nerve / Q000601:surgery; D005155:Facial Nerve Diseases / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005158:Facial Paralysis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007002:Hypoglossal Nerve / Q000601:surgery; D008875:Middle Aged; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*