| Title | New technique of side-to-end hypoglossal-facial nerve attachment with translocation of the infratemporal facial nerve. | | Author(s) | Darrouzet V, Guerin J, Bébéar JP | | Institution | Department of Otorhinolaryngology, University Hospital of Bordeaux, France. vincent.darrouzet@chu-aquitaine.fr | | Source | J Neurosurg 1999 Jan; 90(1):27-34. | | MeSH | Adolescent
Adult
Aged
Cerebellar Neoplasms
Cerebellopontine Angle
Child
Deglutition
Facial Muscles
Facial Nerve
Facial Paralysis
Female
Humans
Hypoglossal Nerve
Incidence
Lingual Nerve
Male
Mastication
Middle Aged
Paralysis
Patient Satisfaction
Postoperative Complications
Questionnaires
Recovery of Function
Retrospective Studies
Speech
Temporal Bone
Tongue
Treatment Outcome
| | Abstract | OBJECT: The goal of this study was to assess the clinical results of hypoglossal-facial nerve attachment (HFA), which was primarily performed in patients following excision of tumors of the cerebellopontine angle. In six of the patients a new side-to-end procedure was used.
METHODS: The authors have performed a retrospective study of 33 patients who underwent HFA, including 24 classic end-to-end, three May, and six side-to-end procedures. For the latter procedure, a hemihypoglossal-facial nerve attachment was performed by rerouting the intratemporal facial nerve; this avoided the jump-cable graft used in May's technique. The goal of the new procedure is to reduce the incidence of morbidity due to hemilingual paralysis (difficulty in chewing, speaking, and swallowing). The incidence of hemilingual paralysis was evaluated based on the findings of a questionnaire that was completed by the patients. The patient's facial mobility was assessed using the House and Brackmann grading system and the author's analytic scoring system.
CONCLUSIONS: The HFA offers good functional results. Of the 28 cases evaluated, nine had House and Brackmann Grade III, 17 Grade IV, and only two Grade V at 18 months. When the new technique of side-to-end hemihypoglossal-facial nerve attachment was used, there was considerable reduction, if not complete disappearance, of lingual morbidity and the facial functional results were constant and satisfactory: there were five patients with House and Brackmann Grade III and one with Grade IV, and their mean percentage of facial mobility was 43.3%. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 10413152 |
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