Intracranial reconstruction of the facial nerve clinical observation

Jin Kanzaki, Takanobu Kunihiro, Toshiaki O-uchi, Kaoru Ogawa, Ryuzo Shiobara, Shigeo Toya

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Nine cases of intracranial facial nerve reconstruction are reviewed in this paper. All patients underwent this procedure for severe injury or disruption of the facial nerve during surgery for acoustic neruroma through the modified extended middle cranial fossa approach (1). Satisfactory recovery of facial function was obtained in 4 patients. Three patients underwent hypoglossal-facial nerve anastomosis 1.3-1.5 years later for no or poor recovery of the facial function. One patient refused any further surgical treatment despite unsatisfactory recovery. The remaining 1 patient, during a telephone interview, stated that facial function had not returned at all 1 year and 5 months postoperatively. Although some degree of associated movement or mass movement was unavoidable, facial movement and mimetic facial expression were better in the patients with satisfactory recovery, as compared with those after hypoglossal-facial nerve anastomosis (2). Fibrin glue, which we used in the latest 3 cases instead of suture, seemed to possibly solve the technical difficulty in placing a suture. Facial function after intracranial reconstruction with fibrin glue was as good or better than that after repair by suturing.

Original languageEnglish
Pages (from-to)85-90
Number of pages6
JournalActa Oto-Laryngologica
Volume111
Issue numberS487
DOIs
Publication statusPublished - 1991

Fingerprint

Facial Nerve
Observation
Hypoglossal Nerve
Fibrin Tissue Adhesive
Recovery of Function
Sutures
Middle Cranial Fossa
Facial Expression
Acoustics
Interviews
Wounds and Injuries

Keywords

  • Acoustic neuroma surgery
  • Fibrin glue
  • Intercranial facial nerve reconstruction

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Intracranial reconstruction of the facial nerve clinical observation. / Kanzaki, Jin; Kunihiro, Takanobu; O-uchi, Toshiaki; Ogawa, Kaoru; Shiobara, Ryuzo; Toya, Shigeo.

In: Acta Oto-Laryngologica, Vol. 111, No. S487, 1991, p. 85-90.

Research output: Contribution to journalArticle

Kanzaki, Jin ; Kunihiro, Takanobu ; O-uchi, Toshiaki ; Ogawa, Kaoru ; Shiobara, Ryuzo ; Toya, Shigeo. / Intracranial reconstruction of the facial nerve clinical observation. In: Acta Oto-Laryngologica. 1991 ; Vol. 111, No. S487. pp. 85-90.
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