中耳的面神经移植和端端吻合：鼓室和乳突。
Facial nerve grafting and end-to-end anastomosis in the middle ear: tympanic cavity and mastoid.
机构信息
School of Medicine of the University of São Paulo.
出版信息
Braz J Otorhinolaryngol. 2013 Aug;79(4):441-5. doi: 10.5935/1808-8694.20130079.
Abstract
UNLABELLED
Sectioned facial nerves can be repaired with grafting or end-to-end anastomosis.
OBJECTIVE
To discuss these repair procedures and what can be expected of them.
METHOD
Seven patients with sectioned facial nerves were included in the study. Four underwent grafting and three were offered end-to-end anastomosis. Facial nerve palsy was iatrogenic in five patients and was caused by bullet wounds in two. Assessment of motor function recovery was based on Janssen's scale.
RESULTS
Mean motor recovery was rated at 72.5% for subjects offered grafting and 73.3% for patients submitted to anastomosis.
CONCLUSION
- Grafting and anastomosis are proper solutions to repair sectioned facial nerves; complete recovery is never attained; synkinesis may occur. 2. In principle anastomosis is the procedure of choice, but when there is minimal traction in the facial nerve stump grafting is preferred. 3. Both procedures yielded mean motor recovery rates above 70% (72.5% for grafting and 73.3% for anastomosis).
摘要
未标记
节段性面神经可通过移植或端端吻合修复。
目的
讨论这些修复程序及其预期效果。
方法
本研究纳入 7 例节段性面神经损伤患者。其中 4 例行移植，3 例行端端吻合。5 例医源性面神经麻痹，2 例因枪弹伤所致。运动功能恢复的评估基于 Janssen 量表。
结果
移植组平均运动恢复率为 72.5%，吻合组为 73.3%。
结论
- 移植和吻合是修复节段性面神经的有效方法，但无法完全恢复，可能出现联带运动。2. 原则上吻合是首选方法，但当面神经残端张力较小时，移植更为可取。3. 两种手术方法的平均运动恢复率均高于 70%（移植组为 72.5%，吻合组为 73.3%）。
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