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Published on: February 21, 2018
Evaluation of VIIth-XIIth cranial nerve anastomosis results by age
F C Eravcı1,2, F Karaloğlu2,3, H Tutar2
1Department of Otorhinolaryngology, Ankara City Hospital, , Turkey.
Objective:
To evaluate VIIth-XIIth cranial nerve (hypoglossal-facial nerve) anastomosis results by age.
Method:
A total of 34 patients who attended a follow-up visit in 2016, aged 20-63 years, were enrolled. The House-Brackmann facial nerve function grading system and the Facial Clinimetric Evaluation scale were applied.
Results:
Regarding post-anastomosis facial nerve function, in the group aged 40 years or less, 14 patients (78 per cent) had House-Brackmann grade III and 4 patients (22 per cent) had House-Brackmann grade IV facial nerve function post-anastomosis. In the group aged over 40 years, nine patients (56 per cent) had House-Brackmann grade III and seven patients (44 per cent) had House-Brackmann grade IV facial nerve function post-anastomosis. There was a statistically significant difference between the two groups in mean facial movement domain scores (p = 0.02). Analysis between age and facial movement score in all 34 patients demonstrated a moderate negative correlation (Pearson correlation coefficient: -0.38) and statistical significance (p = 0.02).
Conclusion:
Facial reanimation yielded better results in younger than in older patients.
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