Facial nerve anastomosis


Response of the temporal branch of the facial nerve frontal area and of the mandibular branch lower lip was limited or absent. Grafts allow the facial nerve to be repaired with minimal nerve end handling5, thus leading to lesser impact on nerve vascularization7 and preserving the anatomy of the middle ear5. Author preferences vary between anastomosis and grafting. It may be identified by following the posterior belly of the digastric toward the hyoid bone. In the case of an end-to-end anastomosis, the hypoglossal nerve is transected distally and brought to meet the facial nerve by passing it either medial or lateral to the digastric muscle. Technique Approach Considerations Currently, no medical treatment exists for facial nerve repair.
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Facial artery

Results At the time of the study, all the patients with a minimum follow-up time of 12 months after the onset of mimetic function had recovered facial animation. An approach for the twenty-first century. Facial movements appeared while the patients activated their chewing musculature. We believe that no hemitongue atrophy was encountered in our patients because we only partially sectioned the hypoglossal nerve proximal to the descending hypoglossal branch at the level between the axis and the atlas, where the nerve is obviously thicker than at its more distal position. This is to accommodate itself to neck movements such as those of the pharynx in deglutition ; and facial movements such as those of the mandible , lips , and cheeks. The great auricular nerve graft is anastomosed to the proximal portion of the beveled cut.
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Hypoglossal—Facial Nerve Anastomosis | Journal of Neurosurgery, Vol 87, No 4

Furthermore, the entire nerve can be rerouted by combining the mastoidectomy with a middle fossa approach, which allows grafting of the proximal portion of the nerve. Kunihiro T, Kanzaki J, Yoshihara S, Satoh Y Analysis of the prognosis and the recovery process of profound facial nerve paralysis secondary to acoustic neuroma resection. If several branches are to be grafted, the branches may be identified by following the nerve beyond the pes anserinus and identifying the branches within or just beyond the parotid gland. Facial movements appeared while the patients activated their chewing musculature. The descending portion of the facial nerve has been skeletonized.
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Facial nerve anastomosis
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Facial nerve anastomosis
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Hypoglossal–Facial Nerve Anastomosis

Facial nerve anastomosis



Description: Ballance C, Duel AB The operative treatment of facial palsy by introduction of nerve grafts into fallopian canal and by other intra-temporal methods. The nerve may be dissected under direct vision with the single incision or by using a fascia stripper and making the stepwise incisions. The facial nerve tissue was always atrophic and very small in diameter. Hitselberger WE Hypoglossal—facial anastomosis.

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