Hypoglossal facial nerve jump graft
Surgical results of the Hypoglossal-Facial nerve Jump Graft technique. - PubMed - NCBI
Hypoglossal-facial-jump-anastomosis without an interposition nerve graft. - PubMed - NCBI
Otolaryngol Head Neck Surg. Jun;(6) Hypoglossal-facial nerve interpositional-jump graft for facial reanimation without tongue atrophy.
Description:The hypoglossal-facial-anastomosis is the most often applied procedure for the reanimation of a long lasting peripheral facial nerve paralysis. The use of an interposition graft and its end-to-side anastomosis to the hypoglossal nerve allows the preservation of the tongue function and also requires two anastomosis sites and a free second donor nerve. We describe the modified technique of the hypoglossal-facial-jump-anastomosis without an interposition and present the first results. We performed the facial nerve reconstruction in five patients. The indication for the surgery was a long-standing facial paralysis with preserved portion distal to geniculate ganglion, absent voluntary activity in the needle facial electromyography, and an intact bilateral hypoglossal nerve. Following mastoidectomy, the facial nerve was mobilized in the fallopian canal down to its bifurcation in the parotid gland and cut in its tympanic portion distal to the lesion.