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Článek

Substitution operations in paralysis of the facial nerve

KARFIK, V
Autor KARFIK, V

Review of Czechoslovak medicine. 1959 ; 4 (4) : 287-300.

Rev Czech Med
ISSN 0034-6497
Zdroj

Článek

Experiences in the treatment of peripheral facial nerve paralysis with acupuncture

Ceskoslovenska neurologie. 1963 Mar ; 26 () : 120-5.

Cesk Neurol
ISSN 0009-0581
Zdroj

Článek

Masseteric nerve supercharge bypass in primary reconstruction of facial nerve

... Facial paralysis is a severe disease and presents a formidable treatment challenge. ...

Acta neurochirurgica. 2019 Jun ; 161 (6) : 1089-1094. [epub] 20190413

Acta Neurochir (Wien)
ISSN 0942-0940 | 0001-6268
Zdroj

Facial paralysis is a severe disease and presents a formidable treatment challenge. A wide variety of surgical procedures are available with limited evidence. Major risk factors of suboptimal recovery include the duration of paralysis as well as higher age. In this paper, we demonstrate reconstruction of the facial nerve via an intratemporal end-to-end anastomosis and concomitant transfer of an intact masseteric nerve to the side of facial nerve trunk. The supercharge (reverse end-to-side) transfer resulted in preservation of target muscles and faster recovery. Masseteric supercharge bypass may be an acceptable surgical technique to restore muscle function in potentially higher risk cases.

Klíčová slova
Facial nerve palsy, Masseteric nerve, Nerve transfer, Supercharge bypass,
MeSH
anastomóza chirurgická metody MeSH
faciální paralýza chirurgie MeSH
lidé MeSH
musculus masseter inervace MeSH
nervový transfer metody MeSH
nervus facialis chirurgie MeSH
nervus mandibularis chirurgie MeSH
senioři MeSH
Check Tag
lidé MeSH
mužské pohlaví MeSH
senioři MeSH
Publikační typ
časopisecké články MeSH
kazuistiky MeSH

Článek

Hemihypoglossal-facial nerve anastomosis: results and electromyographic characterization

... INTRODUCTION: The facial nerve surgery belongs to the basic procedures during lateral skull base approaches ...

European archives of oto-rhino-laryngology. 2022 Jan ; 279 (1) : 467-479. [epub] 20210525

Eur Arch Otorhinolaryngol
ISSN 1434-4726 | 0937-4477
Zdroj

INTRODUCTION: The facial nerve surgery belongs to the basic procedures during lateral skull base approaches. Its damage has serious medical and psychological consequences, and therefore mastery of reconstruction and correction techniques should belong to the repertoire of skull base surgeons. The goal of this study was to demonstrate usefulness of electromyographic follow-up in facial nerve reconstruction. MATERIAL AND METHODS: A total of 16 patients underwent hemihypoglossal-facial anastomosis between 2005 and 2017. Most of the primary lesions came from vestibular schwannoma surgery. All patients were examined with electromyography and scored according to the House-Brackmann and IOWA grading scales. Function of the tongue has been evaluated. RESULTS: Ten patients achieved definitive House-Brackmann grade 3 score (62.5%). We did not observe any association with the patient's age, previous irradiation and the etiology of the damage. Electromyography showed pathological spontaneous activity after the first surgery. Incipient regeneration potentials were detected in 4-17 months (average 7.6) and reached maximum in 6.5-18 months (average 16). Electromyographic assessment of the effect of tongue movement showed better mimic voluntary activity by swallowing or by moving the tongue up. There was no relationship between the start of activity and the interval to achieving maximal activity. CONCLUSION: Hemihypoglossal-facial nerve anastomosis is a safe procedure and it is an optimal solution for cases lacking a proximal stump or in the case of reconstruction in the second stage. Electromyography can predict initial reinnervation activity after reconstructive procedures. During subsequent follow-up it can help to discover insufficiently recovering patients, however clinical characteristics are crucial.

Klíčová slova
Acoustic neuroma, Electromyography, Hypoglossal–facial anastomosis, Reinnervation, Vestibular schwannoma,
MeSH
anastomóza chirurgická MeSH
faciální paralýza * MeSH
lidé MeSH
nervus facialis * chirurgie MeSH
nervus hypoglossus chirurgie MeSH
výsledek terapie MeSH
Check Tag
lidé MeSH
Publikační typ
časopisecké články MeSH

Článek

Nahradní operace pri obrnĕ lícního nervu
[Replacement operation in paralysis of facial nerve]

KARFIK, V
Autor KARFIK, V

Casopis lekaru ceskych. 1957 Jul 05 ; 96 (27-28) : 855-60.

Cas Lek Cesk
ISSN 0008-7335
Zdroj

Článek

A new experimental model for studying peripheral nerve regeneration in dual innervated facial reanimation

... BACKGROUND: Donor nerve selection is a crucial factor in determining clinical outcomes of facial reanimation ...

Animal models and experimental medicine. 2025 Apr ; 8 (4) : 606-614. [epub] 20250207

Animal Model Exp Med
ISSN 2576-2095
Zdroj

BACKGROUND: Donor nerve selection is a crucial factor in determining clinical outcomes of facial reanimation. Although dual innervation approaches using two neurotizers have shown promise, there is a lack of evidence-based comparison in the literature. Furthermore, no animal model of dual reinnervation has yet been published. This study aimed to establish such a model and verify its technical and anatomical feasibility by performing dual-innervated reanimation approaches in Wistar rats. METHODS: Fifteen Wistar rats were divided into four experimental groups and one control group. The sural nerve was exposed and used as a cross-face nerve graft (CFNG), which was then anastomosed to the contralateral buccal branch of the facial nerve through a subcutaneous tunnel on the forehead. The CFNG, the masseteric nerve (MN), and the recipient nerve were coapted in one or two stages. The length and width of the utilized structures were measured under an operating microscope. Return of whisker motion was visually confirmed. RESULTS: Nine out of the eleven rats that underwent surgery survived the procedure. Whisker motion was observed in all experimental animals, indicating successful reinnervation. The mean duration of the surgical procedures did not differ significantly between the experimental groups, ensuring similar conditions for all groups. CONCLUSIONS: Our experimental study confirmed that the proposed reanimation model in Wistar rats is anatomically and technically feasible, with a high success rate, and shows good prospects for future experiments.