Facial Reanimation After Intratemporal Facial Nerve Schwannoma Resection: A Systematic Review.
Facial Plast Surg Aesthet Med
; 26(3): 355-361, 2024.
Article
en En
| MEDLINE
| ID: mdl-38150513
ABSTRACT
Objective:
To systematically analyze the outcomes of reanimation techniques that have been described for patients undergoing non-fascicle sparing resection of intratemporal facial schwannomas.Methods:
A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines of the PubMed, MEDLINE, and Cochrane Central Register of Controlled Trials databases.Results:
Eight hundred forty studies were screened with 22 meeting inclusion criteria comprising 266 patients. Most facial nerve reanimations (81.2%) were performed using an interposition nerve graft. The remaining patients underwent hypoglossal-facial nerve transposition (13.9%), primary anastomosis (3.4%), and free muscle transfer (0.1%). Of the reported interposition grafts, the two most utilized were the great auricular (113/199) and sural (86/199) nerves. Interposition nerve grafts resulted in significantly better outcomes in facial nerve function postoperatively than hypoglossal-facial transposition (3.48 vs. 3.92; p < 0.01). There was no difference between interposition grafts.Conclusion:
This study systematically reports that interposition nerve grafts, after resection of intratemporal facial schwannoma, result in superior outcomes than hypoglossal-facial nerve transposition in these patients.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Transferencia de Nervios
/
Nervio Facial
/
Parálisis Facial
/
Neurilemoma
Tipo de estudio:
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
Facial Plast Surg Aesthet Med
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos