Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-28T03:20:42.087Z Has data issue: false hasContentIssue false
  • English
  • Français

Evaluation of VIIth–XIIth cranial nerve anastomosis results by age

Published online by Cambridge University Press:  10 February 2020

F C Eravcı ,
F Karaloğlu ,
H Tutar ,
F K Bakkal ,
V B Tutar  and
R Karamert
F C Eravcı*
Affiliation:
Department of Otorhinolaryngology, Ankara City Hospital, , Turkey Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey
F Karaloğlu
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey FK Private Practice in Otorhinolaryngology, Ankara, Turkey
H Tutar
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey
F K Bakkal
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey Department of Otorhinolaryngology, Usak University Education and Research Hospital, Turkey
V B Tutar
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey Otorhinolaryngology, Ankara Gölbaşı Şehit Ahmet Özsoy State Hospital, Turkey
R Karamert
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey
*
Author for correspondence: Dr Fakih Cihat Eravcı, M Akif Ersoy mah M Akif Ersoy Cad No:1 D:28, 06200 Yenimahalle, Ankara, Turkey E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

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.

Keywords

Facial NerveHypoglossal NerveSurgical AnastomosisNeurosurgical ProceduresAge FactorsAcoustic Neuroma
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 2 , February 2020 , pp. 165 - 168
Copyright
Copyright © JLO (1984) Limited, 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr F C Eravcı takes responsibility for the integrity of the content of the paper

References

Sughrue, ME, Yang, I, Aranda, D, Rutkowski, MJ, Fang, S, Cheung, SW et al. Beyond audiofacial morbidity after vestibular schwannoma surgery. J Neurosurg 2011;114:367–74CrossRefGoogle ScholarPubMed
Friedman, RA, Berliner, KI, Bassim, M, Ursick, J, Slattery, WH 3rd, Schwartz, MS et al. A paradigm shift in salvage surgery for radiated vestibular schwannoma. Otol Neurotol 2011;32:1322–8CrossRefGoogle ScholarPubMed
Falcioni, M, Fois, P, Taibah, A, Sanna, M. Facial nerve function after vestibular schwannoma surgery. J Neurosurg 2011;115:820–6CrossRefGoogle ScholarPubMed
Lee, J, Fung, K, Lownie, SP, Parnes, LS. Assessing impairment and disability of facial paralysis in patients with vestibular schwannoma. Arch Otolaryngol Head Neck Surg 2007;133:56–60CrossRefGoogle ScholarPubMed
Yetiser, S, Karapinar, U. Hypoglossal-facial nerve anastomosis: a meta-analytic study. Ann Otol Rhinol Laryngol 2007;116:542–9CrossRefGoogle ScholarPubMed
Altamami, NM, Zaouche, S, Vertu-Ciolino, D. A comparative retrospective study: hypoglossofacial versus masseterofacial nerve anastomosis using Sunnybrook facial grading system. Eur Arch Otorhinolaryngol 2019;276:209–16CrossRefGoogle ScholarPubMed
Catli, T, Bayazit, Y, Gokdogan, O, Goksu, N. Facial reanimation with end-to-end hypoglossofacial anastomosis: 20 years’ experience. J Laryngol Otol 2010;124:23–5CrossRefGoogle ScholarPubMed
Wang, Z, Zhang, Z, Huang, Q, Yang, J, Wu, H. Long-term facial nerve function following facial reanimation after translabyrinthine vestibular schwannoma surgery: a comparison between sural grafting and VII-XII anastomosis. Exp Ther Med 2013;6:101–4CrossRefGoogle ScholarPubMed
Terzis, JK, Konofaos, P. Experience with 60 adult patients with facial paralysis secondary to tumor extirpation. Plast Reconstr Surg 2012;130:51–66eCrossRefGoogle ScholarPubMed
Kahn, JB, Gliklich, RE, Boyev, KP, Stewart, MG, Metson, RB, McKenna, MJ. Validation of a patient-graded instrument for facial nerve paralysis: the FaCE scale. Laryngoscope 2001;111:387–98CrossRefGoogle ScholarPubMed
Beutner, D, Luers, JC, Grosheva, M. Hypoglossal-facial-jump-anastomosis without an interposition nerve graft. Laryngoscope 2013;123:2392–6Google ScholarPubMed
Bitter, T, Sorger, B, Hesselmann, V, Krug, B, Lackner, K, Guntinas-Lichius, O. Cortical representation sites of mimic movements after facial nerve reconstruction: a functional magnetic resonance imaging study. Laryngoscope 2011;121:699–706CrossRefGoogle ScholarPubMed
Ryzenman, JM, Pensak, ML, Tew, JM Jr. Facial paralysis and surgical rehabilitation: a quality of life analysis in a cohort of 1,595 patients after acoustic neuroma surgery. Otol Neurotol 2005;26:516–21CrossRefGoogle Scholar
Samii, M, Matthies, C. Indication, technique and results of facial nerve reconstruction. Acta Neurochir 1994;130:125–39CrossRefGoogle ScholarPubMed
Malik, TH, Kelly, G, Ahmed, A, Saeed, SR, Ramsden, RT. A comparison of surgical techniques used in dynamic reanimation of the paralyzed face. Otol Neurotol 2005;26:284–91CrossRefGoogle ScholarPubMed
Oghalai, JS, Buxbaum, JL, Pitts, LH, Jackler, RK. The effect of age on acoustic neuroma surgery outcomes. Otol Neurotol 2003;24:473–7CrossRefGoogle ScholarPubMed
Gavron, JP, Clemis, JD. Hypoglossal–facial nerve anastomosis: a review of forty cases caused by facial nerve injuries in the posterior fossa. Laryngoscope 1984;94:1447–50Google ScholarPubMed
Sood, S, Anthony, R, Homer, J, Van Hille, P, Fenwick, J. Hypoglossal-facial nerve anastomosis: assessment of clinical results and patient benefit for facial nerve palsy following acoustic neuroma excision. Clin Otolaryngol Allied Sci 2000;25:219–26CrossRefGoogle ScholarPubMed
Terzis, JK, Wang, W, Zhao, Y. Effect of axonal load on the functional and aesthetic outcomes of the cross-facial nerve graft procedure for facial reanimation. Plast Reconstr Surg 2009;124:1499–512CrossRefGoogle ScholarPubMed
Volk, GF, Granitzka, T, Kreysa, H, Klingner, CM, Guntinas-Lichius, O. Initial severity of motor and non-motor disabilities in patients with facial palsy: an assessment using patient-reported outcome measures. Eur Arch Otorhinolaryngol 2017;274:45–52CrossRefGoogle ScholarPubMed
Hembd, A, Nagarkar, P, Perez, J, Gassman, A, Tolley, P, Reisch, J et al. Correlation between facial nerve axonal load and age and its relevance to facial reanimation. Plast Reconstr Surg 2017;139:1459–64CrossRefGoogle ScholarPubMed
Silverstein, H, Rosenberg, SI, Flanzer, JM, Wanamaker, HH, Seidman, MD. An algorithm for the management of acoustic neuromas regarding age, hearing, tumor size, and symptoms. Otolaryngol Head Neck Surg 1993;108:1–10CrossRefGoogle ScholarPubMed