Bell's palsy and partial hypoglossal to facial nerve transfer: Case presentation and literature review.

Surgical Neurology International
Mariano SocolovskyEduardo Fernández

Abstract

Idiopathic facial nerve palsy (Bell's palsy) is a very common condition that affects active population. Despite its generally benign course, a minority of patients can remain with permanent and severe sequelae, including facial palsy or dyskinesia. Hypoglossal to facial nerve anastomosis is rarely used to reinnervate the mimic muscle in these patients. In this paper, we present a case where a direct partial hypoglossal to facial nerve transfer was used to reinnervate the upper and lower face. We also discuss the indications of this procedure. A 53-year-old woman presenting a spontaneous complete (House and Brackmann grade 6) facial palsy on her left side showed no improvement after 13 months of conservative treatment. Electromyography (EMG) showed complete denervation of the mimic muscles. A direct partial hypoglossal to facial nerve anastomosis was performed, including dissection of the facial nerve at the fallopian canal. One year after the procedure, the patient showed House and Brackmann grade 3 function in her affected face. Partial hypoglossal-facial anastomosis with intratemporal drilling of the facial nerve is a viable technique in the rare cases in which severe Bell's palsy does not recover spontaneously. Only carefull...Continue Reading

References

Jan 1, 1979·Plastic and Reconstructive Surgery·J Conley, D C Baker
Jan 1, 1992·Acta Oto-laryngologica. Supplementum·E Peitersen
Jul 1, 1997·The Laryngoscope·M D Atlas, D S Lowinger
Apr 1, 2004·European Journal of Clinical Nutrition·S TokudomeE Takeda
Apr 5, 2005·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Susan E CoulsonNicholas J O'Dwyer
Jan 10, 2006·American Journal of Surgery·Orlando Guntinas-LichiusEberhard Stennert
Apr 1, 2006·Journal of Neurosurgery·Stefano FerraresiPaolo Buffatti
May 2, 2007·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Willem P GodefroyAndel G L van der Mey
Mar 28, 2008·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Josef Finsterer
May 13, 2008·Facial Plastic Surgery : FPS·David Chwei-Chin Chuang
Sep 12, 2008·Korean Journal of Ophthalmology : KJO·Na Young Lee, Ki Seok Kim
Mar 26, 2009·Plastic and Reconstructive Surgery·Julia K Terzis, Fatima S Olivares
Dec 17, 2009·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Thomas E LinderSandra Cavero-Vanek
May 18, 2010·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Shadi GhaliAdriaan O Grobbelaar
Jul 3, 2010·Plastic and Reconstructive Surgery·Julia K Terzis, Dimitrios Karypidis
Jul 21, 2010·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Julia K Terzis, Dimitrios Karypidis
Nov 3, 2010·Head & Face Medicine·Gerd F VolkOrlando Guntinas-Lichius
Nov 26, 2010·American Journal of Otolaryngology·Taha Z ShipchandlerDaniel S Alam
Apr 5, 2011·Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft·Umut OzsoyLevent Sarikcioglu
Apr 6, 2011·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Federico BiglioliRoberto Brusati
Jun 11, 2011·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Konstantinos MantsopoulosJannis Constantinidis
Nov 11, 2011·American Journal of Otolaryngology·Eun Woong RyuSeung Geun Yeo

❮ Previous
Next ❯

Citations

Sep 19, 2019·Orthodontics & Craniofacial Research·Carroll Ann TrotmanTessa A Hadlock

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Skull Base : Official Journal of North American Skull Base Society ... [et Al.]
J Thomas RolandPhilip J Miller
Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft
Umut OzsoyLevent Sarikcioglu
© 2021 Meta ULC. All rights reserved