Kunihiro T, Kanzaki J, O-Uchi T
Department of Otolaryngology, School of Medicine, Keio University, Tokyo, Japan.
Acta Otolaryngol Suppl. 1991;487:80-4.
We have reviewed 35 cases of hypoglossal-facial nerve anastomosis performed during the past 15 years for irreversible peripheral facial paralysis caused by surgery for acoustic neuroma. Of 27 patients who were followed more than 1 year after anastomosis, recovery of serviceable facial function was obtained in 25 (92.6%). Neural deficits secondary to transection of the hypoglossal-facial nerve were minimal or acceptable in most cases. The overall results were better in patients who underwent this procedure within 3 months after surgery for acoustic neuroma as compared with those who did so after 1 year or more. The 2 patients who underwent intracranial facial nerve reconstruction during surgery for acoustic neuroma and showed poor facial recovery have presented a challenge to our strategy in the treatment of such patients.
我们回顾了过去15年中因听神经瘤手术导致不可逆性周围性面瘫而进行舌下神经-面神经吻合术的35例病例。在吻合术后随访超过1年的27例患者中，25例（92.6%）获得了可用的面部功能恢复。在大多数情况下，舌下神经-面神经横断引起的神经功能缺损极小或可接受。与术后1年或更长时间进行该手术的患者相比，听神经瘤手术后3个月内进行该手术的患者总体结果更好。在听神经瘤手术期间进行颅内面神经重建但面部恢复较差的2例患者给我们治疗此类患者的策略带来了挑战。
