Laryngoscope 2011 Nov;121(11):2402-5
Department of Otorhinolaryngology, University of Jena, Jena, Germany.
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Laryngoscope 1999 Feb;109(2 Pt 2 Suppl 90):1-23
Department of Otolaryngology, New York University Medical Center, New York, USA.
When viable proximal facial nerve is inacessible, facial nerve paralysis has been classically managed with the hypoglossal facial anastomosis (HFA) for at least the past 70 years. While this procedure has proven its reliability, its problems with hemilingual atrophy (speech deglutition, drooling, mastication), hypertonia, synkinesis, and mimetic deficits indicate the need for a more perfect solution for facial paralysis. The jump interpositional graft hypoglossal facial anastomosis (JIGHFA) along with gold weight lid implantation and electromyographic (EMG) rehabilitation achieves substantial facial reanimation without hemilingual deficits. Read More
Acta Neurochir (Wien) 2007 Dec 5;149(12):1205-10; discussion 1210. Epub 2007 Nov 5.
Unit of Neurosurgery, Hospital de Base do Distrito Federal Brasília, Distrito Federal, Brazil.
Background: The Hypoglossal-Facial nerve crossover has appeared as a surgical option for those scenarios where the facial nerve is injured in its intracranial course, but the conventional technique unequivocally leads to twelfth cranial nerve deficit. In recent years a number of different surgical approaches have been introduced with a view to avoiding the complete section of the hypoglossal nerve, such as the Jump Graft technique. This paper aims to present the results of the Hypoglossal-Facial nerve Jump Graft technique in relation to facial musculature reanimation capability and hemitongue function preservation. Read More
HNO 2001 Apr;49(4):264-9
Universitäts-HNO-Klinik Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg.
Background And Objective: Extratemporal facial nerve neurinomas are rare. In the present study, the epidemiology, clinical presentation and in particular surgical treatment of this entity was analysed under special focus on facial nerve preservation.
Patients/methods: 22 patients with an extratemporal facial nerve neurinoma of the parotid gland, treated at the University-ENT-Clinic Hamburg-Eppendorf during 1977-1997 were analysed retrospectively. Read More
Laryngoscope 2011 Apr 1;121(4):699-706. Epub 2011 Feb 1.
Department of Otorhinolaryngology, Friedrich-Schiller-University Jena, Germany.
Objectives/hypothesis: To describe cortical reorganization after classic hypoglossal-facial nerve anastomosis (HFA) (four patients), hypoglossal-facial nerve jump anastomosis (HFJA) (three patients), and facial nerve interpositional graft (FNIG) (three patients).
Study Design: Prospective case series.
Methods: Functional magnetic resonance imaging (fMRI) was performed during lip and tongue movement using a block or an event-related design. Read More