Facial reanimation by hypoglossal-facial neurorrhaphy
| Autor: | Yvens Barbosa Fernandes, Ricardo Ramina, Hélio Sérgio Fernandes Cyrino, Marcílio Silva Prôa Júnior |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Brazilian Neurosurgery, Vol 33, Iss 01, Pp 17-21 (2014) |
| Druh dokumentu: | article |
| ISSN: | 0103-5355 2359-5922 |
| DOI: | 10.1055/s-0038-1626194 |
| Popis: | Objective: Facial palsy may still occur after removal of large vestibular schwannomas. The aim of this paper is to describe the outcome of patients submitted to facial reanimation and make a concise revision about modern techniques available to reanimate a paralyzed face. Methods: A retrospective study of was performed about the surgical results of 12 patients submitted to hypoglossal-facial neurorrhaphy. These patients were submitted to radical removal of large vestibular schwannomas (> 3 cm) before and anatomic preservation of the facial nerve was not possible. Results: In 10 cases (83%) patients had a good outcome with House-Brackmann facial grading III. In two other cases the facial grading was IV and VI. All patients were follow-up for at least one year after the reanimation procedure. Conclusion: Hypoglossal-facial neurorrhaphy is a very useful technique to restore facial symmetry and minimize the sequela of a paralyzed face. Long last palsy seemed to be the main reason of poor outcome in two cases. |
| Databáze: | Directory of Open Access Journals |
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