ANALYSIS OF THE PROGNOSIS AND THE RECOVERY PROCESS OF PROFOUND FACIAL-NERVE PARALYSIS SECONDARY TO ACOUSTIC NEUROMA RESECTION

被引：14

作者：

KUNIHIRO, T

KANZAKI, J

YOSHIHARA, S

SATOH, Y

机构：

[1] Department of Otolaryngology, School of Medicine, Keio University

来源：

ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY AND ITS RELATED SPECIALTIES | 1994年 / 56卷 / 06期

关键词：

ACOUSTIC NEUROMA; FACIAL NERVE PARALYSIS; FACIAL MOVEMENT; RECOVERY PROCESS; TIMING OF ANASTOMOSIS;

D O I：

10.1159/000276686

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

The prognosis and the recovery process of facial nerve paralysis were reviewed in 74 patients who, despite preservation of nerve continuity, showed no facial movement after acoustic neuroma resection. In 50 or 67.6% of patients, facial movement recovered sufficiently so as not to require any reanimation procedures. However, no apparent sign of remission was observed for 7-49 months in the other 24 patients (32.4%), and hypoglossal-facial nerve anastomosis was performed in 20 of these patients. When remission was seen, the first sign of muscle movement appeared most frequently after 3-4 months but, in a small number of patients, it was also seen within 1.5 months or after 5-10 months. Based upon these results, the timing of reanimation procedures for facial nerve paralysis following acoustic neuroma resection is discussed.

引用

页码：331 / 333

页数：3

共 13 条

[1]

Hitselberger W.E., Hypoglossal-facial anastomosis, Otolaryngol Clin North Am, 7, pp. 545-550, (1974)

[2]

Rosenwasser R.H., Liebman E., Jimenez D.F., Buchheit W.A., Andrews D.W., Facial reanimation after facial nerve injury, Neurosurgery, 29, pp. 568-574, (1991)

[3]

Gagnon N.B., Molina-Negro P., Facial reinnervation after facial paralysis: Is it ever too late?, Arch Otorhinolaryngol, 246, pp. 303-307, (1989)

[4]

Evans D.M., Hypoglosso-facial anastomosis in the treatment of facial palsy, Br J Plast Surg, 27, pp. 251-257, (1974)

[5]

Kanzaki J., Kawase T., Sano K., Shiobara R., Toya S., A modified extended middle cranial fossa approach for acoustic tumors, Arch Otorhinolaryngol, 217, pp. 119-121, (1977)

[6]

Kanzaki J., Shiobara R., Toya S., Classification of the extended middle cranial fossa approach, Acta Otolaryngol Suppl (Stockh), 487, pp. 6-16, (1991)

[7]

Yanagihara N., Grading of facial palsy, Facial Nerve Surgery, pp. 533-536, (1977)

[8]

House J.W., Brackmann D.E., Facial nerve grading system, Otolaryngol Head Neck Surg, 93, pp. 146-147, (1985)

[9]

Kunihiro T., Kanzaki J., Matsunaga T., Clinical observation of hypoglossal-facial nerve anastomosis, Eur Arch Otorhinolaryngol Suppl

[10]

Ryu H., Yokoyama T., Uemura K., Ninchoji T., Sakai T., Shimoyama I., Muraki M., Furuya Y., Miyamoto T., Sugiyama K., Yamamoto S., Endo T., Nozue M., Follow up study of hypoglossalfacial anastomosis, Facial Nerve Res Jpn, 8, pp. 159-162, (1988)

← 1 2 →