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Rehabilitation of the paralysed face: Results of facial nerve surgery

Saeed, SR; Ramsden, RT; (1996) Rehabilitation of the paralysed face: Results of facial nerve surgery. Journal of Laryngology and Otology , 110 (10) 922 - 925. 10.1017/S0022215100135364. Green open access

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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.

Type: Article
Title: Rehabilitation of the paralysed face: Results of facial nerve surgery
Open access status: An open access version is available from UCL Discovery
DOI: 10.1017/S0022215100135364
Publisher version: http://dx.doi.org/10.1017/S0022215100135364
Language: English
Additional information: Copyright Cambridge University Press 1996
Keywords: Facial paralysis, Facial nerve, Surgery, Fibrin tissue adhesive, Hypoglossal nerve, Cerebellopontine angle, Reanimation, Repair
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > The Ear Institute
URI: https://discovery.ucl.ac.uk/id/eprint/1320825
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