Scaramella L F
Ear Nose Throat J. 1996 Jun;75(6):343, 347-52, 354.
The anastomosis between the two facial nerves for the treatment of facial paralysis, in which the proximal stump of the severed facial nerve is not accessible, was utilized in eleven patients. The palsy was secondary to resection of an acoustic tumor in nine patients, sarcoma of the petrous bone was the cause in one and an automobile accident in the other. The original concept of anastomosing a branch of the normal pes anserinus to the trunk of the paralyzed facial nerve, as first presented by the author at the Second International Symposium on Facial Nerve Surgery held in Japan in September, 1970, has been modified. The technique of anastomosing the cervico-facial division of the normal facial nerve, and directing it to the temporo-facial division of the paralyzed facial nerve via a sural autograft 20-22 cm long, was combined with the utilization of the ipsilateral descendens cervicalis (hypoglossi). This nerve was anastomosed to the cervico-facial division of the paralyzed facial nerve and utilized in four patients. The technique is illustrated in detail.
在11例面神经切断后近端残端无法显露的面瘫患者中，采用了双侧面神经吻合术进行治疗。其中9例面瘫继发于听神经瘤切除术后，1例由岩骨肉瘤所致，另1例因车祸引起。作者于1970年9月在日本举行的第二届国际面神经外科学术研讨会上首次提出的将正常鹅足支与瘫痪面神经主干吻合的最初设想已有所改进。采用了将正常面神经颈面分支通过一段20 - 22厘米长的自体腓肠神经移植，引至瘫痪面神经颞面分支进行吻合的技术，并结合使用同侧颈降神经（舌下神经）。该神经与瘫痪面神经的颈面分支进行吻合，4例患者采用了此方法。文中详细说明了该技术。
