Dalla Toffola, Elena and Pavese, Chiara and Cecini, Miriam and Petrucci, Lucia and Ricotti, Susanna and Bejor, Maurizio and Salimbeni, Grazia and Biglioli, Federico and Klersy, Catherine (2014) Hypoglossal-facial nerve anastomosis and rehabilitation in patients with complete facial palsy: cohort study of 30 patients followed up for three years. Functional Neurology, 29 (3). pp. 183-187. ISSN 1971-3274
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Abstract
Our study evaluates the grade and timing of recovery in 30 patients with complete facial paralysis (House-Brackmann grade VI) treated with hypoglossal-facial nerve (XII-VII) anastomosis and a long-term rehabilitation program, consisting of exercises in facial muscle activation mediated by tongue movement and synkinesis control with mirror feedback. Reinnervation after XII-VII anastomosis occurred in 29 patients, on average 5.4 months after surgery. Three years after the anastomosis, 23.3% of patients had grade II, 53.3% grade III, 20% grade IV and 3.3% grade VI ratings on the House-Brackmann scale. Time to reinnervation was associated with the final House-Brackmann grade. Our study demonstrates that patients undergoing XII-VII anastomosis and a long-term rehabilitation program display a significant recovery of facial symmetry and movement. The recovery continues for at least three years after the anastomosis, meaning that prolonged follow-up of these patients is advisable.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | facial nerve, facial palsy, hypoglossal-facial nerve anastomosis, mirror feedback, rehabilitation |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 15 Dec 2015 15:48 |
| Last Modified: | 15 Dec 2015 15:48 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/11170 |
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