title: Comparison of hemihypoglossal-facial nerve transposition with a cross-facial nerve graft and muscle transplant for the rehabilitation of facial paralysis using the facial clima method.
abstract: To compare quantitatively the results obtained after hemihypoglossal nerve transposition and microvascular gracilis transfer associated with a cross facial nerve graft (CFNG) for reanimation of a paralysed face, 66 patients underwent hemihypoglossal transposition (n = 25) or microvascular gracilis transfer and CFNG (n = 41). The commissural displacement (CD) and commissural contraction velocity (CCV) in the two groups were compared using the system known as Facial clima. There was no inter-group variability between the groups (p > 0.10) in either variable. However, intra-group variability was detected between the affected and healthy side in the transposition group (p = 0.036 and p = 0.017, respectively). The transfer group had greater symmetry in displacement of the commissure (CD) and commissural contraction velocity (CCV) than the transposition group and patients were more satisfied. However, the transposition group had correct symmetry at rest but more asymmetry of CCV and CD when smiling.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Clínica Universidad de Navarra, Pamplona, Spain. bhontanill@unav.es
authors.forename: Bernardo
authors.initials: B
authors.lastname: Hontanilla
authors.forename: Antonio
authors.initials: A
authors.lastname: Vila
mesh_terms: D000328:Adult; D015331:Cohort Studies; D003131:Combined Modality Therapy; D005149:Facial Expression; D005152:Facial Muscles / Q000601:surgery / Q000637:transplantation*; D005154:Facial Nerve / Q000601:surgery / Q000637:transplantation*; D005158:Facial Paralysis / Q000175:diagnosis / Q000534:rehabilitation* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007002:Hypoglossal Nerve / Q000601:surgery / Q000637:transplantation*; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D016067:Nerve Transfer / Q000379:methods*; D015588:Observer Variation; D011182:Postoperative Care; D019651:Plastic Surgery Procedures / Q000379:methods* / Q000534:rehabilitation; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013030:Spain; D016896:Treatment Outcome; D055815:Young Adult