title: Facial nerve anastomosis in the mastoid portion using a cable graft. Case report.
abstract: We describe a case of a 52-year-old woman in whom surgery for two tumours located in the cerebellar hemisphere and in the posterior petrous bone was complicated by interruption of the facial nerve (CN VII). During the same procedure, anastomosis of CN VII, using a cable graft harvested from the great auricular nerve, was performed. Seven months later the first signs of reinnervation of the facial muscles were noticed. Two and a half years after surgery, CN VII function was assessed as grade II/III according to the House-Brackmann scale. The authors emphasize the significance of immediate repair of CN VII in modern skull base surgery but also the importance of a patient's self-training to obtain the best functional outcome of the facial reanimation. Reconstruction using the great auricular nerve has two significant advantages: first, the patient avoids further procedures for nerve repair, and second, the harvested nerve is located in direct proximity to the operation area.
authors: Katedra i Klinika Neurochirurgii, Warszawski Uniwersytet Medyczny, Warszawa. pkunert@wp.pl
authors: Przemysław
authors: P
authors: Kunert
authors: Marcin
authors: M
authors: Skawiński
authors: Andrzej
authors: A
authors: Marchel
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D003390:Cranial Nerve Neoplasms / Q000150:complications / Q000601:surgery; D005154:Facial Nerve / Q000601:surgery* / Q000637:transplantation*; D005158:Facial Paralysis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D016067:Nerve Transfer / Q000379:methods*; D019635:Neurosurgical Procedures / Q000379:methods; D016896:Treatment Outcome