HEMIHYPOGLOSSAL-FACIAL NERVE ANASTOMOSIS IN TREATING UNILATERAL FACIAL PALSY AFTER ACOUSTIC NEURINOMA RESECTION

被引：110

作者：

ARAI, H ^{[1
]}

SATO, K ^{[1
]}

YANAI, A ^{[1
]}

机构：

[1] JUNTENDO UNIV,DEPT PLAST SURG,TOKYO,JAPAN

来源：

JOURNAL OF NEUROSURGERY | 1995年 / 82卷 / 01期

关键词：

NERVE ANASTOMOSIS; HYPOGLOSSAL NERVE; FACIAL PALSY; ACOUSTIC NEURINOMA; HEMIGLOSSAL ATROPHY;

D O I：

10.3171/jns.1995.82.1.0051

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Eight patients underwent hemihypoglossal-facial nerve anastomosis (anastomosis of a split hypoglossal nerve to the facial nerve) for treatment of unilateral facial palsy. All patients previously had undergone resection of a large acoustic neurinoma and the facial nerve had been resected at that time. The interval between tumor resection and hemihypoglossal-facial nerve anastomosis ranged from 1 to 6 months, with an average of 2.1 months. Postoperative recovery of facial movement was good in all cases during an average follow-up period of 4.2 years. In all eight patients, the degree of hypoglossal nerve atrophy on the operated side was graded mild or moderate, but not severe. It was concluded that hemihypoglossal-facial nerve anastomosis results in good facial reanimation as long as the procedure is performed early after the onset of facial palsy and that this procedure may reduce the degree of hemiglossal atrophy in comparison with classic hypoglossal-facial nerve anastomosis.

引用

页码：51 / 54

页数：4

共 19 条

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