Facial nerve grafting and end-to-end anastomosis in the middle ear - tympanic cavity and mastoid

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dc.contributor.authorCruz Filho, Nelson Alvares
dc.contributor.authorAquino, Jose Evandro Andrade Prudente de [UNIFESP]
dc.contributor.authorOliveira, Luis Francisco de
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionBeneficiencia Portuguesa Hosp
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:31:55Z
dc.date.available2016-01-24T14:31:55Z
dc.date.issued2013-07-01
dc.description.abstractSectioned facial nerves can be repaired with grafting or end-to-end anastomosis.Objective: To discuss these repair procedures and what can be expected of them.Method: Seven patients with sectioned facial nerves were included in the study. Four underwent grafting and three were offered end-to-end anastomosis. Facial nerve palsy was iatrogenic in five patients and was caused by bullet wounds in two. Assessment of motor function recovery was based on Janssen's scale.Results: Mean motor recovery was rated at 72.5% for subjects offered grafting and 73.3% for patients submitted to anastomosis.Conclusion: 1. Grafting and anastomosis are proper solutions to repair sectioned facial nerves; complete recovery is never attained; synkinesis may occur. 2. in principle anastomosis is the procedure of choice, but when there is minimal traction in the facial nerve stump grafting is preferred. 3. Both procedures yielded mean motor recovery rates above 70% (72.5% for grafting and 73.3% for anastomosis).en
dc.description.affiliationUniv São Paulo, Sch Med, BR-05508 São Paulo, Brazil
dc.description.affiliationBeneficiencia Portuguesa Hosp, Ivan F Barbosa Clin, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Paulista Sch Med, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Paulista Sch Med, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent441-445
dc.identifierhttp://dx.doi.org/10.5935/1808-8694.20130079
dc.identifier.citationBrazilian Journal of Otorhinolaryngology. São Paulo: Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial, v. 79, n. 4, p. 441-445, 2013.
dc.identifier.doi10.5935/1808-8694.20130079
dc.identifier.fileS1808-86942013000400008.pdf
dc.identifier.issn1808-8694
dc.identifier.scieloS1808-86942013000400008
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/36465
dc.identifier.wosWOS:000323297600008
dc.language.isoeng
dc.publisherAssoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial
dc.relation.ispartofBrazilian Journal of Otorhinolaryngology
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectanastomosis, surgicalen
dc.subjectear, middleen
dc.subjectfacial nerveen
dc.subjectmicrosurgeryen
dc.titleFacial nerve grafting and end-to-end anastomosis in the middle ear - tympanic cavity and mastoiden
dc.title.alternativeEnxertos e anastomoses do nervo facial na orelha média - caixa do tímpano e mastoidept
dc.typeinfo:eu-repo/semantics/article
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