Masseter-to-Facial Cranial Nerve Anastomosis: A Report of 30 Cases.

Autor:	Zotov AV; Federal Neurosurgical Center, Novosibirsk, Russian Federation., Rzaev JA; Federal Neurosurgical Center, Novosibirsk, Russian Federation., Chernov SV; Federal Neurosurgical Center, Novosibirsk, Russian Federation., Dmitriev AB; Federal Neurosurgical Center, Novosibirsk, Russian Federation., Kalinovsky AV; Federal Neurosurgical Center, Novosibirsk, Russian Federation., Spallone A; NCL-Neuromed, Institute of Neurological Sciences, Rome, Italy.; Department of Nervous Diseases, RUDN Russian Peoples' Friendship University, Moscow, Russian Federation.
Jazyk:	angličtina
Zdroj:	Operative neurosurgery (Hagerstown, Md.) [Oper Neurosurg (Hagerstown)] 2020 Oct 15; Vol. 19 (5), pp. 502-509.
DOI:	10.1093/ons/opaa140
Abstrakt:	Background: Facial nerve paralysis (FP) is a possible complication of cerebellopontine angle tumor surgery. Several donor nerves have been used in the past for facial reanimation. We report the results of 30 cases of masseter-to-facial anastomosis. Objective: To prospectively evaluate the efficacy of V to VII anastomosis after FP. Methods: In a prospective study, we included 30 consecutive patients with FP (20 women and 10 men) whose mean age was 48.8 yr (32-76 yr). In almost all cases, FP developed after cerebellopontine angle tumor surgery (29 patients), whereas in one case, FP occurred after skull base trauma. Pre- and postoperative evaluation of facial nerve function was performed using the House-Brackmann (HB) scale and the Sokolovsky scale, as well as by electromyography. Follow-up ranged from 11 to 51 mo and averaged 22 mo. Results: All patients achieved functional recovery of the facial nerve from VI to either III or IV HB degree. Patients with short time FP showed significantly better postoperative recovery. Conclusion: The results of the V to VII anastomosis demonstrate a significant improvement of facial nerve function and virtually no complications. (Copyright © 2020 by the Congress of Neurological Surgeons.)
Databáze:	MEDLINE
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