Hypoglossal-Facial Anastomosis

2007 ◽  
Vol 107 (1) ◽  
pp. 244-245 ◽  
Author(s):  
Eduardo Fernandez ◽  
Francesco Doglietto ◽  
Alessandro Ciampini ◽  
Liverana Lauretti
Keyword(s):  
Facial Nerve ◽  
Cranial Nerve ◽  
New Technique ◽  
Orbicularis Oculi Muscle ◽  
Orbicularis Oculi ◽  
Fascial Sling ◽  
Gold Weight ◽  
A New Technique ◽  
12Th Cranial Nerve ◽  
Graft Interposition

The aim of this paper was to report on further experience with a new technique for reanimation of the facial nerve. This procedure allows a straight end-to-side hypoglossal–facial anastomosis without interruption of the 12th cranial nerve or the need for graft interposition. It is technically demanding and time consuming but offers an effective, reliable, and extraordinarily quick means of reinnervating the facial muscles, including the orbicularis oculi muscle, thus avoiding the need for a gold weight in the eyelid or a fascial sling.

End-to-side intrapetrous hypoglossal–facial anastomosis for reanimation of the face

2006 ◽  
Vol 104 (3) ◽  
pp. 457-460 ◽  
Author(s):  
Stefano Ferraresi ◽  
Debora Garozzo ◽  
Vittorino Migliorini ◽  
Paolo Buffatti
Keyword(s):  
Facial Nerve ◽  
Cranial Nerve ◽  
Orbicularis Oculi Muscle ◽  
Orbicularis Oculi ◽  
Fascial Sling ◽  
The Face ◽  
Gold Weight ◽  
A New Technique ◽  
12Th Cranial Nerve ◽  
Graft Interposition

✓ The aim of this paper was to report on further experience with a new technique for reanimation of the facial nerve. This procedure allows a straight end-to-side hypoglossal–facial anastomosis without interruption of the 12th cranial nerve or the need for graft interposition. It is technically demanding and time consuming but offers an effective, reliable, and extraordinarily quick means of reinnervating the facial muscles, including the orbicularis oculi muscle, thus avoiding the need for a gold weight in the eyelid or a fascial sling.

En bloc petrosectomy using a Gigli saw for petroclival lesions

1995 ◽  
Vol 83 (3) ◽  
pp. 559-560 ◽  
Author(s):  
Tomio Sasaki ◽  
Makoto Taniguchi ◽  
Ichiro Suzuki ◽  
Takaaki Kirino
Keyword(s):  
Facial Nerve ◽  
Semicircular Canals ◽  
Petrous Bone ◽  
New Technique ◽  
En Bloc ◽  
Content Type ◽  
A New Technique ◽  
Transtentorial Approach ◽  
Fine Print

✓ The authors report a new technique for en bloc petrosectomy using a Gigli saw as an alternative to drilling the petrous bone in the combined supra- and infratentorial approach or the transpetrosal—transtentorial approach. It is simple and easy and avoids postoperative cosmetic deformity. This technique has been performed in 11 petroclival lesions without injuring the semicircular canals, the cochlea, or the facial nerve.

Problems with Reoperation of the Parotid Gland and Facial Nerve

1988 ◽  
Vol 99 (5) ◽  
pp. 480-488 ◽  
Author(s):  
John J. Conley
Keyword(s):  
Parotid Gland ◽  
Facial Nerve ◽  
Clinical Observation ◽  
Biological Process ◽  
Conservative Surgery ◽  
Benign Disease ◽  
New Technique ◽  
The Status ◽  
A New Technique

The decision as to how to handle recurrent benign disease in the parotid gland can be a perplexing problem. It may cover the gamut of clinical observation, through conservative surgery to radical ablation. The situation is a balance between the nature of the biological process, the possibility of cure or control, and the status of the facial nerve. These problems can be exceptionally difficult in analysis and philosophical management, and are frequently pinioned between technical craftsmanship, curability, and deformity. An understanding, however, of the variety of possibilities—and particularly their relationship to the facial nerve—will help to position these cases within the realm of surgical reality. A new technique of interfascicular dissection is proposed in certain instances.

scholarly journals HEMIFICAL SPASM: A NEW TECHNIQUE OF FACIAL NERVE BLOCKADE

1983 ◽  
Vol 55 (4) ◽  
pp. 333-337 ◽  
Author(s):  
T. TAKAHASHI ◽  
S. DOHI
Keyword(s):  
Facial Nerve ◽  
New Technique ◽  
Nerve Blockade ◽  
A New Technique

On the origin of synkinesis in hemifacial spasm: results of intracranial recordings

1984 ◽  
Vol 61 (3) ◽  
pp. 569-576 ◽  
Author(s):  
Aage R. Møller ◽  
Peter J. Jannetta
Keyword(s):  
Facial Nerve ◽  
Hemifacial Spasm ◽  
Orbicularis Oculi Muscle ◽  
Orbicularis Oculi ◽  
Content Type ◽  
Root Entry Zone ◽  
Marginal Mandibular Branch ◽  
Intracranial Recordings ◽  
Mandibular Branch ◽  
Stimulation Of

✓ Recordings were made from facial muscles and the facial nerve near its entrance into the brain stem in patients with hemifacial spasm (HFS). The purpose of this study was to determine if the synkinesis commonly seen in patients with HFS could be linked to ephaptic transmission at the presumed site of the lesion (at the root entry zone (REZ) of the facial nerve). When the mandibular branch of the facial nerve was electrically stimulated, a response could be recorded from the orbicularis oculi muscles during the operation. The latency of the earliest response was 11.03 ± 0.66 msec (mean response of seven patients ± standard deviation (SD)). With equivalent stimulation a response could also be recorded from the facial nerve near the REZ; the latency of this response was 3.87 ± 0.36 msec. Stimulation of the facial nerve at the same location yielded a response from the orbicularis oculi muscle, with a latency of 4.65 ± 0.25 msec. The latency of the earliest response from the orbicularis oculi muscle to stimulation of the marginal mandibular branch of the facial nerve (11.3 msec) is thus larger than the sum of the conduction times from the points of stimulation of the marginal mandibular branch to the REZ of the facial nerve and from the REZ of the facial nerve to the orbicularis oculi muscle (8.52 ± 0.38 msec). It is therefore regarded as unlikely that the earliest response of the orbicularis oculi muscle to stimulation of the mandibular branch of the facial nerve is a result of “crosstalk” in the facial nerve at a location near the REZ, and it seems more likely that HFS caused by injury of the facial nerve is a result of reverberant activity in the facial motonucleus, possibly caused by mechanisms that are similar to kindling.

scholarly journals Eye Exercises for Treatment of Idiopathic Cranial Nerve VII Paresis: Pilot Study

2012 ◽  
Vol 39 (2) ◽  
pp. 196-201 ◽  
Author(s):  
Sylvia L. Rodriguez ◽  
Wilma M. Hopman ◽  
Martin W. ten Hove
Keyword(s):  
Cranial Nerve ◽  
Controlled Trial ◽  
Fine Motor ◽  
Orbicularis Oculi Muscle ◽  
Orbicularis Oculi ◽  
Loss To Follow Up ◽  
Initial Strength ◽  
Positive Effects ◽  
Rate Of Recovery ◽  
Improve Rate

Background:To determine if fine-motor eye exercises can be used for treatment of unilateral, idiopathic cranial nerve VII paresis to improve rate of recovery.Methods:In this prospective, randomized controlled trial, eligible patients were randomized to perform fine-motor eye exercises (n=18) or to do no exercise (n=9) for a period of four weeks. Orbicularis oculi muscle strength was measured in paretic and unaffected eyes at baseline, two weeks and four weeks using an Orbicularis Oculi Pressure Sensor.Results:The average initial strength of the paretic orbicularis oculi muscle was 34±10 mm Hg compared to the unaffected muscle which was 103±17 mm Hg at baseline (n=27). By four weeks, patients who performed eye exercises improved more than those who did not (74.4 versus 47.4 mm Hg, p=0.029). While there was some loss to follow-up, 63.8% of patients performing exercises (7/11) achieved functional recovery at four weeks compared to 12.5% (1/8) of those who did not (p=0.059). Steroids and antivirals were found to have independent positive effects on improving functional outcome.Conclusions:Eye exercises have a potential role in the treatment of idiopathic cranial nerve VII paresis and warrant consideration in the management of these patients.

Sign in / Sign up

Export Citation Format

Share Document