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[Termino-terminal hypoglossofacial anastomosis, indications, results].
G Lamas1, E Lannadère, F Tankéré
1Groupe Hospitalier Pitié-Salpêrière, Service d'ORL et de Chirurgie de la Face et du Cou, 47/83 bd de l'Hôpital, 75013 Paris, France. georges.lamas@psl.aphp.fr
Revue De Laryngologie - Otologie - Rhinologie
|February 3, 2011
Summary
End-to-end hypoglossofacial anastomosis (AHF tt) is a reliable technique for facial palsy rehabilitation. This method shows good results, especially when peripheral nerve branches remain intact, with complications reduced by specific reeducation.
Area of Science:
- Neurosurgery
- Facial Nerve Surgery
- Reconstructive Surgery
Context:
- Facial paralysis significantly impacts quality of life.
- Surgical interventions are crucial for restoring facial function.
- End-to-end hypoglossofacial anastomosis (AHF tt) is a reconstructive option.
Purpose:
- To evaluate the indications and outcomes of end-to-end hypoglossofacial anastomosis (AHF tt).
- To assess the efficacy of AHF tt in patients with facial paralysis.
Summary:
- A retrospective study of 38 patients (mean age 40) undergoing AHF tt between 2004-2010.
- Common etiologies included vestibular schwannoma surgery (47.7%) and facial nerve schwannoma (18%).
- Recovery began between 3-9 months, with final results predominantly Grade III (37%) and IV (60%) House-Brackmann (HB) facial nerve function.
Impact:
- AHF tt demonstrates high reliability for facial palsy rehabilitation when peripheral nerve branches are intact.
- Specific speech therapy remediation significantly reduced complications associated with AHF tt.
- The technique offers a viable solution for long-term facial function restoration.
