Casas-Rodera Pablo, Lassaletta Luis, González Teresa, Sarriá María José, Gavilán Javier
Servicio de Otorrinolaringología, Hospital Universitario La Paz, Madrid, España.
Acta Otorrinolaringol Esp. 2007 Apr;58(4):133-7.
Post-operative facial function was analyzed in 14 patients undergoing different techniques for facial nerve repair.
The aetiology of facial paralysis included vestibular schwannomas, facial schwannomas, cranioencephalic trauma, and iatrogenic lesions.
The mean interval between paralysis and reconstruction surgery was 6 months, although in 2 cases it exceeded 12 months. The first facial signs of recovery were achieved around the sixth month post-operatively, in every patient. All patients achieved a facial function graded III or IV in the House-Brackmann scale, equivalent to a grade II or III on the May scale. There were no differences between the surgical techniques compared, both termino-terminal anastomosis and hypoglossal-facial anastomosis.
The surgical reconstruction techniques for facial nerve repair should be known by all ENT surgeons. At least facial symmetry at rest and complete eye closure are achieved in almost every patient when the procedure is carried out at the proper time.
对14例接受不同面神经修复技术的患者的术后面部功能进行分析。
面瘫的病因包括前庭神经鞘瘤、面神经鞘瘤、颅脑外伤和医源性损伤。
面瘫与重建手术之间的平均间隔为6个月，不过有2例超过了12个月。每位患者术后约第六个月出现最初的面部恢复迹象。所有患者在House-Brackmann量表中面部功能分级为III级或IV级，相当于May量表中的II级或III级。所比较的手术技术（端端吻合术和舌下-面神经吻合术）之间没有差异。
所有耳鼻喉科医生都应了解面神经修复的手术重建技术。如果在适当的时候进行手术，几乎每位患者至少能实现静止时面部对称和完全闭眼。
