当前位置： SCI文献检索 > AMERICAN JOURNAL OF OTOLARYNGOLOGY期刊下所有文献 > Recovery of facial nerve function after repair or grafting: our experience with 24 patients.

Recovery of facial nerve function after repair or grafting: our experience with 24 patients.

Abstract：

OBJECTIVE:The aim of this study was to review the outcomes of facial nerve repair and attempt to identify predictors of recovery time. STUDY DESIGN:A retrospective chart review was conducted. SETTING:The study was done in a single, tertiary care, otologic referral center. PATIENTS AND METHODS:Thirty-one patients underwent facial nerve repair or grafting between 1990 and 2003. Twenty-four patients were found to have complete data sets with at least 11-month follow-up. The following data were noted: patient age and sex, preoperative diagnosis and facial nerve status, administration of radiation, surgical procedure performed (including type and length of graft), proximal and distal sites of anastomosis, time interval to first recovery of clinical facial nerve function, and facial nerve status at most recent follow-up. RESULTS:Nineteen patients had some return of function within 12 months postoperatively. Five patients were lost to follow-up but had no documented facial function at a minimum of 11 months postoperatively. Mean follow-up was 8 months, with a range from 3 to 25 months. Overall mean time to recovery of function was 7 months. Mean times to recovery for each anastomotic site were calculated and found to correlate with recovery times, with an R(2) value of 0.86. A more proximal anastomosis was associated with a longer recovery period. When the data were analyzed individually, no statistical correlation was found between time to recovery of function and patient age, radiation status, length of graft, or site of anastomosis. CONCLUSIONS:Intuitively, because of technical difficulty and the proximity of injury to the cell body, a more proximal repair would seem to result in slower recovery. In our series of patients undergoing repair or grafting, neither the site of injury and repair nor the length of graft were statistically predictive of recovery intervals. A trend toward longer recovery time with a more proximal anastomosis is likely, however, based on the relationship identified between average recovery times and site of injury. A larger series is needed to identify a significant correlation.

journal_name

Am J Otolaryngol

journal_title

American journal of otolaryngology

authors

Eaton DA,Hirsch BE,Mansour OI

doi

10.1016/j.amjoto.2006.06.009

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

37-41

issue

eissn

0196-0709

issn

1532-818X

pii

S0196-0709(06)00117-7

journal_volume

pub_type

杂志文章

在线工具

Recovery of facial nerve function after repair or grafting: our experience with 24 patients.