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Rehabilitation of the paralysed face: results of facial nerve surgery

Published online by Cambridge University Press:  29 June 2007

Shakeel R. Saeed  and
Richard T. Ramsden
Shakeel R. Saeed*
Affiliation:
University Department of Otolaryngology, Manchester, UK
Richard T. Ramsden
Affiliation:
University Department of Otolaryngology, Manchester, UK
*
Address for correspondence: Mr Shakeel R. Saeed F.R.C.S. (ORL), University Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL
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Abstract

The case notes of 34 patients undergoing rehabilitative facial nerve surgery between 1978 and 1994 were retrospectively examined. Thirteen patients underwent facio-hypoglossal transposition with six achieving a facial nerve grade of IV (House-Brackmann scale) at 24 months post-surgery. Twelve patients underwent cable grafting of the facial nerve defect. Of these, 10 achieved a grade III result at 24 months. Nine patients underwent end to end anastomosis of the facial nerve, seven achieving a grade III result at 24 months after the repair. Re-routing of the facial nerve and the use of tissue glue to effect the anastomosis did not have an adverse effect on the outcome. Comparison of rerouted end to end anastomosis with non-re-routed cable grafting showed no difference. Patients presenting pre-operatively with facial weakness and those in whom nerve repair surgery was delayed for more than six months were less likely to have a good result.

Keywords

Facial paralysisFacial nerve, surgeryFibrin tissue adhesiveHypoglossal nerve
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 10 , October 1996 , pp. 922 - 925
Copyright
Copyright © JLO (1984) Limited 1996

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Footnotes

This paper was presented by Mr S. R. Saeed at the 2nd International Conference on Acoustic Neuroma Surgery, Paris, April 1995 and formed a poster presentation at the 9th British Academic Conference in Otolaryngology, Manchester, July 1995.

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