Effectiveness of Hypoglossal-Facial Anastomosis in the Rehabilitation of Facial Paralysis Following Vestibular Schwannoma Surgery: A Systematic Review

The facial nerve plays a crucial role in facial expression and sensory functions, with irreversible injuries often demanding rehabilitation therapies, with hypoglossal-facial nerve anastomosis (HFA) being one of the treatment options. This systematic review assessed different HFA techniques for faci...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-04, Vol.16 (4), p.e57625-e57625
Main Authors: André Texeira Iora, Maiquel, Rodrigues Teixeira Netto, Matheus, Porto Cardoso, Camila, Rossi Dos Santos, Pâmela, Iserhardt Ciochetta, Chariel, Moreira Monteiro, Jander, Rodrigues, Vagner, Rassier Isolan, Gustavo, Lavinsky, Joel
Format: Article
Language:English
Subjects:
Acoustics
Bias
Intervention
Missing data
Neurosurgery
Oncology
Otolaryngology
Performance evaluation
Rehabilitation
Surgery
Systematic review
Citations: Items that this one cites
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Summary:The facial nerve plays a crucial role in facial expression and sensory functions, with irreversible injuries often demanding rehabilitation therapies, with hypoglossal-facial nerve anastomosis (HFA) being one of the treatment options. This systematic review assessed different HFA techniques for facial paralysis, particularly post vestibular schwannoma resection, focusing on effectiveness and associated morbidities. Fifteen studies, comprising a case series and a retrospective cohort, were analyzed. Techniques included end-to-end, split, side-to-side, end-to-side, and jump interpositional graft hypoglossal-facial anastomosis (JIGHFA). Positive outcomes were observed with end-to-end and side-to-side techniques, while the split technique and JIGHFA showed promise. Comparative analyses favored the 'end-to-side' approach. Shorter intervals between surgery and HFA correlated with improved outcomes. Methodological variations highlight the need for prospective studies with standardized methodologies for robust evidence and informed decision-making on optimal HFA techniques.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.57625