Plastic and Maxillofacial Surgery Department, Hôtel Dieu de France Hospital, Alfred Naccache Boulevard, Achrafieh, Lebanon.
J Plast Reconstr Aesthet Surg. 2010 Nov;63(11):1807-12. doi: 10.1016/j.bjps.2009.12.005. Epub 2010 Jan 29.
Hypoglossal-facial nerve anastomosis is a time-proven technique for the repair of facial nerve palsy. Efforts have been made to reduce hypoglossal nerve injury, the main drawback of the technique. In this study, the anastomosis is a true termino-lateral neurorrhaphy with only an epineural window in the hypoglossal nerve sheath. A re-routing technique of the temporal facial nerve is also performed to allow a direct anastomosis to the hypoglossal nerve without the need for a jump graft. The first three results reported are very encouraging, with a satisfactory return of facial mimics and without any impairment of lingual function.
舌下神经-面神经吻合术是一种经过时间验证的修复面神经麻痹的技术。人们一直在努力减少舌下神经损伤，这是该技术的主要缺点。在这项研究中，吻合术是真正的终末侧神经吻合术，仅在舌下神经鞘中有一个神经外膜窗口。还对面神经颞支进行改道技术，以便可以直接吻合舌下神经，而无需跳跃移植。报告的前三个结果非常令人鼓舞，面部表情恢复令人满意，并且没有任何舌功能障碍。
