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首页> 外文期刊>Experimental and therapeutic medicine >Long-term facial nerve function following facial reanimation after translabyrinthine vestibular schwannoma surgery: A comparison between sural grafting and VII-XII anastomosis
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Long-term facial nerve function following facial reanimation after translabyrinthine vestibular schwannoma surgery: A comparison between sural grafting and VII-XII anastomosis

机译：在译员后，长期面神经功能在译中后克拉林前庭施武南马瘤手术：血管嫁接与vii-xii吻合术的比较

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摘要

The aim of this study was to compare the recovery of long-term facial nerve function between patients who received sural grafts and those who underwent hypoglossal-facial anastomosis techniques following translabyrinthine vestibular schwannoma surgery. This study included 25 patients with vestibular schwannomas treated with translabyrinthine tumor removal. All patients had large tumors with a mean tumor size of 3.12 cm. Of these patients, six had progressive tumor enlargement symptoms' and had been treated previously with stereotactic irradiation. Preoperatively, all patients had normal facial functions, and total tumor removal with a translabyrinthine approach was achieved in all cases. During surgery, the facial nerve was interrupted in all 25 patients. Two types of facial reanimation were performed. Sural grafts were placed in 13 patients and hypoglossal-facial (VII-XII) anastomosis was performed in the other 12. Facial nerve function and surgical outcomes were observed upon discharge, in the short term (one year following surgery), and in the long term (three years following surgery). Total facial paresis was observed in all patients upon discharge. In the sural graft group, House-Brackmann grade III facial function was achieved in four patients upon short-term evaluation and in ten upon long-term evaluation, while House-Brackmann grade IV facial function was achieved in nine patients upon short-term evaluation and three in the long term. In the VII-XII anastomosis group, House-Brackmann grade III facial function was achieved in two patients in the short term and eight in the long term, and House-Brackmann grade IV facial function was achieved in ten patients in the short term and four in the long term. There was a statistically significant difference in the facial recovery results between the short- and long-term follow-up periods. The sural graft group exhibited a marked improvement in results compared with the VII-XII anastomosis group, but no statistically significant difference in facial function was observed between the two facial reanimation groups at either the short- or long-term follow-up. In the sural graft group, synkinesia, noted in three patients, was the most frequently observed complication. Claudication was common upon discharge (four patients), but diminished during follow-up. Disarticulation was the most common complication in the VII-XII anastomosis group (five patients); numbness of the tongue was the second most common complication (four patients). None of the patients developed dysphagia. Facial reanimation is an effective procedure for the surgical rehabilitation of static and dynamic facial nerve functions. Significant improvement in facial nerve function may occur more than three years after surgery. Despite morbidities such as synkinesia, the sural graft technique demonstrates greater improvements in facial nerve function than VII-XII anastomosis in the short and long term following surgery, but this conclusion requires confirmation by larger studies with a greater number of patients.
机译：本研究的目的是比较接受血液移植物的患者之间的长期面神经功能的复苏，以及在翻译后门前庭施瓦瘤手术后接受低压面部吻合技术的人。本研究包括25例前庭施韦莫斯治疗，用汉语蛋白肿瘤去除。所有患者患有大肿瘤，平均肿瘤大小为3.12厘米。在这些患者中，六个患者具有渐进式肿瘤肿大症状，并以先定向辐射照射治疗。术前，所有患者均具有正常的面部功能，并且在所有情况下，均达到晶状体方法的总肿瘤去除。在手术过程中，面部神经在所有25名患者中断。进行了两种类型的面部复活。将血管移植物置于13名患者中，并且在另外12次患者中吻合术（VII-XII）吻合术。在出院时观察面部神经功能和手术结果，短期内（手术后一年），从而长期以来术语（手术后三年）。在排出时，所有患者都观察到总面部探剂。在血管移植群中，在短期评估后四名患者和长期评估后，在四名患者中达到了House-Brackmann级面部功能，而在短期评估后，九名患者在九名患者中达到了九个患者的九级患者和三个长期。在VII-XII吻合术中，HUSE-BRACKMANN级面部功能是在短期​​内和八个患者中实现的，长期八个患者，并且在短期和四名患者中达到了HOUS-BRACKMANN级面部功能在长期。在短期和长期随访期间，面部恢复结果存在统计学上的显着差异。与VII-XII吻合术相比，血征移植物组的结果显示出明显的改善，但在短期或长期随访中，两种面部恢复基团之间没有观察到面部功能的统计学意义。在血征移植物组中，三名患者注意到的综合征是最常见的并发症。跛行在出院时常见（四名患者）是常见的，但在随访期间减少。吻合素是血糖吻合组群（五名患者）中最常见的并发症;舌头的麻木是第二个最常见的并发症（四名患者）。没有一个患者开发出吞咽困难。面部再搅拌是静态和动态面神经功能的外科康复的有效方法。面部神经功能的显着改善可能在手术后三年多发生。尽管诸如Sybkinesia等病理，但血征移植技术在手术短期和长期短期内比VII-XII吻合术更加改善了面神经功能，但该结论需要通过更多患者进行更大的研究确认。

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  • 来源
  • 作者

    Wang Zhaoyan; Zhang Zhihua; Huang Qi; Yang Jun; Wu Hao;

  • 作者单位

    Shanghai Jiao Tong Univ Xinhua Hosp Dept Otolaryngol Head &

    Neck Surg Shanghai 200092 Peoples R;

    Shanghai Jiao Tong Univ Xinhua Hosp Dept Otolaryngol Head &

    Neck Surg Shanghai 200092 Peoples R;

    Shanghai Jiao Tong Univ Xinhua Hosp Dept Otolaryngol Head &

    Neck Surg Shanghai 200092 Peoples R;

    Shanghai Jiao Tong Univ Xinhua Hosp Dept Otolaryngol Head &

    Neck Surg Shanghai 200092 Peoples R;

    Shanghai Jiao Tong Univ Xinhua Hosp Dept Otolaryngol Head &

    Neck Surg Shanghai 200092 Peoples R;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 治疗学;
  • 关键词

    facial reanimation; sural graft; VII-XII anastomosis; vestibular schwannoma;

    机译：面部恢复;血液移植物;vii-xii吻合术;前庭施瓦马瘤;

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