Korean J Otolaryngol-Head Neck Surg.  2001 Oct;44(10):1107-1111.

A Case of Direct Hypoglossal-Facial Nerve Side-to-End Anastomosis

• Yoon BM
• Min KS
• Choi HM
• Bong JP

Abstract

When a surgeon fails to save intracranial segement of the facial nerve and can not identify the proximal segment of the facial nerve due to severe adhesion or severe brain stem compression by the tumor, the interpositional graft has no place in helping this patient. Hypoglossal-facial nerve (XII-VII) direct side to end anastomosis is the effective facial reanimation technique used in such a case. This technique compensates for the drawbacks of classical XII-VII anastomosis, and the bothersome strong mass movement and hemiparalysis of the tongue. We recently experienced a case where XII-VII direct side-to-end anastomosis was applied. We report our case with literature review.

Keyword

Facial paralysis; Facial reanimation; Hypoglossal nerve; Facial nerve

MeSH Terms

Brain Stem
Facial Nerve
Facial Paralysis
Humans
Hypoglossal Nerve
Tongue
Transplants