| Title | [Rehabilitation of the paralyzed face by hypoglossal-facial nerve anastomosis. An analysis of 7 cases] | | Author(s) | Briche T, Poncet JL, Diard JP, Michau N, Clement P, Verdalle P, Freyss G, Buffe P, Desgeorges M | | Institution | HIA Val de Grace, Service ORL et Chirurgie de la face et du Cou, Clamart. | | Source | Ann Otolaryngol Chir Cervicofac 1999 Sep; 116(4):228-36. | | MeSH | Adult
Aged
Anastomosis, Surgical
English Abstract
Facial Nerve
Facial Paralysis
Female
Humans
Hypoglossal Nerve
Male
Microsurgery
Middle Aged
Patient Care Team
Retrospective Studies
Treatment Outcome
| | Abstract | After facial nerve injury, in cerebello-pontine tumors surgery, hypoglossal-facial anastomosis is the most common procedure, to rehabilite a paralysed face, if direct facio-facial graft is not possible. This procedure must be done, in a second time, during the next year and followed with a specific reeducation. In seven patients operated between 1985 and 1996, we performed clinical evaluation and electrophysiological examination. The best evaluation is the clinical evaluation using the G. Freyss's facial testing. Best results are seen in early, specific and continued reeducation. All our patients have a good recovery of facial nerve function, but clinical examination and electrophysiological results are not correled with an objective video performance. The management of such patients needs efficient oto-neurosurgical team and specific trained physiotherapists. | | Language | fre | | Pub Type(s) | Journal Article
| | PubMed ID | 10519012 |
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