Postoperative functional evaluation of different reanimation techniques for facial nerve repair

The facial nerve function after facial-facial nerve anastomosis, grafting, hypoglossal-facial nerve anastomosis, hypoglossal-facial interpositional jump nerve anastomosis, or a combined approach was analyzed. Facial function was assessed after operation using a 7-point visual analog scale (VAS) and...

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Bibliographic Details
Published in:The American journal of surgery 2006, Vol.191 (1), p.61-67
Main Authors: Guntinas-Lichius, Orlando, Streppel, Michael, Stennert, Eberhard
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Child
Clinical outcomes
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Electromyography
Facial nerve
Facial Nerve Injuries - diagnosis
Facial Nerve Injuries - surgery
Facial paralysis
Female
General aspects
Humans
Hypoglossal nerve
Male
Medical research
Medical sciences
Middle Aged
Nerve anastomosis
Nerve graft
Nerve repair
Neurologic Examination
Neurosurgical Procedures - methods
Non tumoral diseases
Otorhinolaryngology. Stomatology
Patients
Reconstructive Surgical Procedures - methods
Recovery of Function
Retrospective Studies
Surgery
Treatment Outcome
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Summary:The facial nerve function after facial-facial nerve anastomosis, grafting, hypoglossal-facial nerve anastomosis, hypoglossal-facial interpositional jump nerve anastomosis, or a combined approach was analyzed. Facial function was assessed after operation using a 7-point visual analog scale (VAS) and by electromyography (EMG) in 53 patients. The final result was judged by May’s facial nerve grading system. Voluntary EMG activity occurred on average 4.52 ± 1.31 months after operation. Initial facial movements were visible after 5.41 ± 1.80 months. Facial function related to the VAS finally reached 44% of normal value. The result was judged May’s grade I in 13%, grade II in 34%, grade III in 28%, and grade IV in 25% of patients. A significant difference in outcome between different reconstruction types was not seen. Age over 60 years was related to worse outcome. A correct selection of the best method in the individual situation presumed, all analyzed facial reanimation techniques seem to lead nearly similar and satisfactory results.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2005.05.054