Pelisse J M, Demaldent J, Vernon J P, Poirier J, Dupuis G
Ann Otolaryngol Chir Cervicofac. 1981;98(3):99-101.
The authors report a case of a neurinoma of the third portion of the facial nerve, revelated by a progressive palsy completed four months later (but the muscle of the stapes was still working). After removing the neurinoma which was in the middle of the mastoïde an anastomosis between the XII and the VII nerves was performed and successful. The authors emphasize two facts: --The possibility of active reinervation by this method of the facial muscles even after a long delay of complete interruption of the facial nerve. --The advantage of performing the micro-anastomosis as close as possible to the myo-neural synapsis (just before the bifurcation of the facial nerve.
作者报告了一例面神经第三段神经鞘瘤病例，首发症状为进行性面瘫，4个月后完全性面瘫（但镫骨肌仍有功能）。在切除位于乳突中部的神经鞘瘤后，将十二（舌下）神经与七（面）神经进行吻合，手术成功。作者强调了两个事实：——即使在面神经完全中断长时间延迟后，通过这种方法仍有可能对面部肌肉进行有效的神经再支配。——尽可能在靠近肌神经突触处（就在面神经分叉之前）进行显微吻合的优势。
