Masseteric-Facial Anastomosis: A Report of Three Cases
Arq. bras. neurocir
;
40(4): 380-386, 26/11/2021.
Article
in English
| LILACS
| ID: biblio-1362116
ABSTRACT
Intoduction The pathways of the facial nerve are variable, and knowledge of that is essential. The worst impact caused by facial paralysis is related to quality of life, especially regarding the self-esteem and social acceptance on the part of the patients, leading to social isolation and disruption on their mental health. Case Report A 33-year-old female patient, with a stage-T3 acoustic neurinoma, presented with a moderate dysfunction (grades II to III) according to the House- Brackmann (HB) Facial Nerve Grading System. A 43-year-old male patient, with a stage- T4B trigeminal schwannoma, underwent a resective surgery and presented grade-VI dysfunction according to the HB scale. And a female patient with a stage-T4A acoustic neurinoma presented grade-IV dysfunction according to the HB scale. Discussion We performed a literature review of papers related to surgeries for masseteric-facial nerve anastomosis and compiled the results in table; then, we compared these data with those obtained from our cases. Conclusion The masseteric nerve is the one that shows the best prognosis among all the cranial nerves that could be used, but it is also necessary to perform well the surgical technique to access the facial branch and consequently achieve a better masseteric-facial nerve anastomosis.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Anastomosis, Surgical
/
Facial Nerve
/
Hypoglossal Nerve
/
Mandibular Nerve
Type of study:
Prognostic study
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Arq. bras. neurocir
Journal subject:
Cirurgia
/
Neurosurgery
Year:
2021
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Department of Research and Innovation, Laboratory of Cellular and Molecular Biology, Faculdade de Medicina do ABC/BR
/
Faculdade de Medicina São Leopoldo Mandic/BR
/
Faculdade de Medicina São Leopoldo Mandic, Campinas/BR
/
Faculdade de Medicina de Catanduva/BR
/
Faculdade de Medicina, Universidade Santo Amaro/BR
/
Fellowship in Neurosurgery, Hospital Santa Paula, São Paulo/BR
/
Peripheral Nerve Surgery Unit, Division of Functional Neurosurgery, Instituto de Psiquiatria, Faculdade de Medicina da Universidade de São Paulo, São Paulo/BR
/
Pontifícia Universidade Católica de São Paulo/BR
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