Summary
A satisfactory long term result was obtained in 19 out of 25 cases of facial paralysis, consequent upon complete removal of an acoustic neurinoma, by anastomosis of the facial nerve, in 24 cases with the spinal accessory and in 1 case with the hypoglossal nerve. The technique ofBragdon andGray whereby the deep branch of the spinal accessory nerve is spared and only the superficial branch is used for the anastomosis has proved to be of great value.
Zusammenfassung
Aus einem Kollektiv von 25 Fällen mit Fazialislähmung nach Entfernung eines Akustikusneurinomes, bei denen 24mal eine Fazialis-Akzessoriusana-stomose und lmal eine Fazialis-Hypoglossusanastomose ausgeführt worden war, konnten 19 Fälle ausreichend lange nachuntersucht werden. Die Technik vonBragdon undGray, bei der die tiefen Äste des spinalen Akzessorius erhalten bleiben und nur der oberflächliche Nerventeil zur Anastomose verwendet wird, hat sich gut bewährt.
Résumé
Un résultat satisfaisant à long terme a été obtenu dans 19 cas sur 25 de paralysie faciale après l'extirpation complète du neurinome de l'acoustique en anastomosant le nerf facial dans 24 cas avec le spinal et dans 1 cas avec l'hypoglosse. La technique de Bragdon et Gray nous a donné satisfaction; elle consiste à anastomoser la branche superficielle du spinal et à préserver sa branche profonde.
Riassunto
Vengono riferiti gli esiti a distanza di 25 casi di anastomosi (24 spino-facciali e 1 ipoglosso-facciale) con risultato soddisfacente in 19 (76%). Si dimostró molto utile la tecnica di Bragdon e Gray secondo la qua le il ramo profondo del nervo accessorio spinale viene diviso e solo il ramo superficiale viene adoperato per l'anastomosi.
Resumen
Los resultados obtenidos en 25 casos de parálisis facial, después de la extirpación completa de neurinomas del acústico, fueron satisfactorios en 19 enfermos coh un largo periodo de observación. Se realizó una anastomosis espino-facial en 24 casos y en 1 caso con el nervio hipogloso. La técnica de Bragdon y Gray, con la cual la rama profunda del nervio espinal accesorio es respetada, usando solamente la rama superficial para la anastomosis ha resultado muy valiosa.
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Migliavacca, F. Facial nerve anastomosis for facial paralysis following acoustic neurinoma surgery. Acta neurochir 17, 274–279 (1967). https://doi.org/10.1007/BF01404572
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DOI: https://doi.org/10.1007/BF01404572