Reference : Comment je traite ... la paralysie faciale par anastomose hypoglosso-faciale.
Scientific journals : Article
Human health sciences : Surgery
Comment je traite ... la paralysie faciale par anastomose hypoglosso-faciale.
[en] How I treat ... facial paralysis by hypoglosso-facial anastomosis
Courtmans, I [> > > >]
Born, J D [> > > >]
CARLIER, Alain mailto [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie de la main]
HANS, Pol [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation]
Revue Médicale de Liège
Université de Liège. Revue Médicale de Liège
Yes (verified by ORBi)
[en] Adult ; Aged ; Anastomosis, Surgical/methods ; Facial Nerve/pathology/surgery ; Facial Nerve Diseases/complications/pathology/surgery ; Facial Paralysis/pathology/surgery ; Female ; Humans ; Hypoglossal Nerve/pathology/surgery ; Hypoglossal Nerve Diseases/complications/pathology/surgery ; Male ; Middle Aged ; Retrospective Studies ; Treatment Outcome
[en] Thirteen patients underwent a hypoglosso- or a spino-facial nerve anastomosis between 1990 and 1996. Facial palsy was the result of surgery in 12 cases and of radiosurgery in 1 case. The mean interval between facial palsy and anastomosis was 12 months. Facial nerve function is determined on the basis of clinical examination according to the classification of House-Brackmann and our own evaluation. According to House, 10 patients are classified grade III and 3 grade IV. Our evaluation defines in 10 grade III, 7 good results and 3 fair results. As far as the good results are concerned, the mean interval between palsy and anastomosis is short (< 3 months). The permanent eating and swallowing dysfunctions are consecutive to multiple cranial nerve deficits. The post-paralysis hemifacial spasm is facilitated by prolongated electric stimulations.

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