Masseter-to-Facial Cranial Nerve Anastomosis: A Report of 30 Cases.
Anastomosis
Facial nerve
Facial nerve palsy
House-Brackmann scale
Masseter nerve
Masseter-to-facial anastomosis
Journal
Operative neurosurgery (Hagerstown, Md.)
ISSN: 2332-4260
Titre abrégé: Oper Neurosurg (Hagerstown)
Pays: United States
ID NLM: 101635417
Informations de publication
Date de publication:
15 Oct 2020
15 Oct 2020
Historique:
received:
16
10
2019
accepted:
21
03
2020
pubmed:
17
6
2020
medline:
22
6
2021
entrez:
17
6
2020
Statut:
ppublish
Résumé
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. To prospectively evaluate the efficacy of V to VII anastomosis after FP. 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. 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. The results of the V to VII anastomosis demonstrate a significant improvement of facial nerve function and virtually no complications.
Sections du résumé
BACKGROUND
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
OBJECTIVE
To prospectively evaluate the efficacy of V to VII anastomosis after FP.
METHODS
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
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
CONCLUSIONS
The results of the V to VII anastomosis demonstrate a significant improvement of facial nerve function and virtually no complications.
Identifiants
pubmed: 32542367
pii: 5857685
doi: 10.1093/ons/opaa140
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
502-509Commentaires et corrections
Type : ErratumIn
Informations de copyright
Copyright © 2020 by the Congress of Neurological Surgeons.