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The facial tics

The Journal of Laryngology and Otology

|June 1, 1976

Summary

This summary is machine-generated.

Permanent cure for hemifacial spasm requires dividing the facial nerve or excising the muscle. Neuro-anastomosis offers value for severe or localized spasms, though it causes temporary facial palsy.

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Area of Science:

Neurology
Neurosurgery

Background:

Hemifacial spasm involves abnormal facial muscle movements.
Current treatments often provide only temporary relief and are poorly tolerated.

Purpose of the Study:

To classify facial muscle movement abnormalities.
To evaluate diagnostic and treatment strategies for hemifacial spasm based on 22 cases.

Main Methods:

Review of 22 hemifacial spasm cases.
Analysis of surgical interventions including neurotomy and neuro-anastomosis.
Assessment of treatment efficacy and patient tolerance.

Main Results:

Permanent spasm relief necessitates permanent facial nerve division or muscle excision.
Previous neurotomy techniques (German, Scoville) were unsatisfactory.

Neuro-anastomosis proved valuable for severe and localized spasms, causing temporary facial palsy.

Conclusions:

Neuro-anastomosis is a viable option for hemifacial spasm treatment.
Treatment outcomes, including palsy duration, depend on the facial nerve division site.