Universität zu Köln

Beutner, Dirk, Luers, Jan C. and Grosheva, Maria ORCID: 0000-0002-5985-468X (2013). Hypoglossal-Facial-Jump-Anastomosis Without an Interposition Nerve Graft. Laryngoscope, 123 (10). S. 2392 - 2397. HOBOKEN: WILEY-BLACKWELL. ISSN 0023-852X

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Abstract

Objectives/HypothesisThe hypoglossal-facial-anastomosis is the most often applied procedure for the reanimation of a long lasting peripheral facial nerve paralysis. The use of an interposition graft and its end-to-side anastomosis to the hypoglossal nerve allows the preservation of the tongue function and also requires two anastomosis sites and a free second donor nerve. We describe the modified technique of the hypoglossal-facial-jump-anastomosis without an interposition and present the first results. Study DesignRetrospective case study. MethodsWe performed the facial nerve reconstruction in five patients. The indication for the surgery was a long-standing facial paralysis with preserved portion distal to geniculate ganglion, absent voluntary activity in the needle facial electromyography, and an intact bilateral hypoglossal nerve. Following mastoidectomy, the facial nerve was mobilized in the fallopian canal down to its bifurcation in the parotid gland and cut in its tympanic portion distal to the lesion. Then, a tensionless end-to-side suture to the hypoglossal nerve was performed. The facial function was monitored up to 16 months postoperatively. ResultsThe reconstruction technique succeeded in all patients: The facial function improved within the average time period of 10 months to the House-Brackmann score 3. ConclusionThis modified technique of the hypoglossal-facial reanimation is a valid method with good clinical results, especially in cases of a preserved intramastoidal facial nerve. Level of EvidenceLevel 4. Laryngoscope, 123:2392-2396, 2013

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Beutner, Dirk UNSPECIFIED UNSPECIFIED UNSPECIFIED Luers, Jan C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Grosheva, Maria UNSPECIFIED orcid.org/0000-0002-5985-468X UNSPECIFIED
URN:	urn:nbn:de:hbz:38-474932
DOI:	10.1002/lary.24115
Journal or Publication Title:	Laryngoscope
Volume:	123
Number:	10
Page Range:	S. 2392 - 2397
Date:	2013
Publisher:	WILEY-BLACKWELL
Place of Publication:	HOBOKEN
ISSN:	0023-852X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PARALYZED FACE; ADULT RATS; RECOVERY; TRANSECTION; REANIMATION; PLASTICITY Multiple languages Medicine, Research & Experimental; Otorhinolaryngology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/47493