Tatagiba M, Matthies C, Samii M
Neurochirurgische Klinik, Nordstadt Krankenhaus, Hannover, Federal Republic of Germany.
Acta Neurochir (Wien). 1994;126(2-4):72-5. doi: 10.1007/BF01476413.
Between 1979 and 1989, 13 patients with neurofibromatosis 2 underwent reconstructions of the facial nerve after removal of bilateral acoustic or facial neurinomas. Seven patients received hypoglossal-facial nerve anastomosis, and five received sural nerve grafting in the cerebellopontine angle. End-to-end anastomosis and intracranial-intratemporal sural grafting were performed for one patient each, respectively. Re-innervation was seen in all cases. The results were good in 11 cases. Two patients presented with poor results due to development of neurinomas close to the site of the nerve reconstruction. The importance of reconstructive surgery in patients with neurofibromatosis is stressed. The problems regarding failure of re-innervation in some cases and difficulties in their management are discussed.
1979年至1989年间，13例2型神经纤维瘤病患者在双侧听神经瘤或面神经鞘瘤切除术后接受了面神经重建。7例患者接受了舌下神经-面神经吻合术，5例患者在桥小脑角接受了腓肠神经移植。分别有1例患者接受了端端吻合术和颅内-颞内腓肠神经移植术。所有病例均可见神经再支配。11例结果良好。2例患者因神经重建部位附近出现神经鞘瘤而效果不佳。强调了重建手术对神经纤维瘤病患者的重要性。讨论了某些病例中神经再支配失败的问题及其处理困难。
