Facial reanimation using hypoglossal‐facial neurorrhaphy with end‐to‐side coaptation between the jump interpositional nerve graft and hypoglossal nerve: Outcome and duration of preoperative paralysis

Abstract

To achieve successful reanimation of the corners of the mouth, hypoglossal-facial neurorrhaphy with end-to-side coaptation between the jump interpositional nerve graft and the hypoglossal nerve should be performed within 6 months after the onset of facial nerve paralysis. © 2015 Wiley Periodicals, Inc. Microsurgery 36:460-466, 2016.

Eyelid reanimation using crossface nerve graft: Relationship between surgical outcome and preoperative paralysis duration

“…The residual function of the orbicular muscle is suspected to be related to the duration of preoperative paralysis; however, no studies have yet reported on the relationship between the outcomes of CFNG for eyelid reanimation and the duration of preoperative paralysis. We reported the results of our jump interpositional nerve graft between the facial and hypoglossal nerves in 2015 (Okochi et al, ). In that report, as a result of evaluating factors such as age, underlying disease, and surgical results, we showed that the duration of preoperative paralysis has the greatest effect on the surgical outcome.…”

“…However, in these reports, the hypoglossal nerve was cut and sutured to the nerve graft or the main trunk of the facial nerve by end‐to‐end anastomosis (Conley & Baker, ; Hammerschlag et al, ; Pensak et al, ), the hypoglossal nerve was split (Arai et al, ; Rochkind et al, ) or partially cut, and the nerve graft was coapted to the facial nerve using end‐to‐side sutures (Atlas & Lowinger, ; Darrouzet et al, ; Godefroy et al, ; May et al, ; Manni et al, ; Pitty & Tator, ). According to these studies, to achieve good result even a long time after onset of paralysis, surgical procedure should be more invasive for the hypoglossal nerve (Hammerschlag et al, ; Okochi et al, ; Pitty & Tator, ).…”

“…In patients with facial nerve paralysis, the return of eyelid function and facial expressions is very important for improving the patient's quality of life (Okochi et al, ; Ueda et al, ). Most notably, eyelid dysfunction leads to drying and ulceration of the cornea with the risk of vision loss.…”

Estudo comparativo entre as técnicas de sutura término-lateral e coaptação com selante de fibrina na regeneração do nervo facial, associada ou não ao laser de baixa potência

“…O GC foi utilizado como parâmetro de normalidade de acordo com a literatura para os movimentos e a posição das vibrissas (Figuras 22A e 22B), sendo classificado com 5 pontos os parâmetros da Tabela 1 (página 37). de FARIA et al, 2006;MAGILL et al, 2010;HONTANILLA;MARRE;CABELLO, 2013;TOROS et al, 2013;VITERBO et al, 2014;HUANG et al, 2015;MATSUDA et al, 2015;OKOCHI et al, 2015). FRANCIOSI, 2009;RAY et al, 2010;SOUZA et al, 2011;LIU et al, 2014;WAN et al, 2014), como por exemplo, redução da atrofia muscular (SHEA et al, 2014).…”

“…Matsuda et al (2015),Okochi et al (2015) eTos et al (2014) que apontam a utilização de enxerto nervoso com sutura término-lateral como uma técnica de fácil realização, exige menos material e é eficaz em modelos experimentais. Em tais estudos houve presença de axônios em regeneração, sua distribuição para os nervos receptores e exibição de cotos reinervados, concluindo ser uma opção útil na reconstrução do nervo facial.…”