Hypoglossal facial nerve jump graft
Otolaryngol Head Neck Surg. Jun;(6) Hypoglossal-facial nerve interpositional-jump graft for facial reanimation without tongue atrophy.
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Acta Neurochir (Wien). Dec;(12); discussion Epub Nov 5. Surgical results of the Hypoglossal-Facial nerve Jump Graft technique.
13 May Hypoglossal-facial-jump-anastomosis without an interposition nerve graft. Beutner D(1), Luers JC, Grosheva M. Author information.
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Description:The hypoglossal-facial-anastomosis is the most often applied procedure for the reanimation of a long lasting peripheral facial nerve paralysis. There was no incidence of definitive hemitongue atrophy and no patient complaint of swallowing or speech difficulty. We performed the facial nerve reconstruction in five patients. The surgical approach was characterised by the interposition of a short graft sutured to the distal stump of the transected facial nerve and sutured end-to-side to the hypoglossi, with cutting of only a third of the diameter of the latter. The indication for the surgery was a long-standing facial paralysis with preserved portion distal to geniculate ganglion, absent voluntary activity in the needle facial electromyography, and an intact bilateral hypoglossal nerve.