聴神経腫瘍術後の顔面神経麻痺に対する交叉性顔面神経移植術の経験

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The author's method and postoperative results of Cross-Face Nerve Grafting were reported. This method of operation was performed on unilateral facial palsy after extirpation of cerebello-pontine angle tumor in which the facial nerve could not be preserved and a central stump of facial nerve was not available at surgery. No postoperative complications and no weakness of the facial nerve function on the healthy side were seen. In 5 cases which were observed over 4 years after surgery, defenitive neurotisation of transplants was confirmed according to clinical and electrophysiological tests. No cases showed symmetric movement of reinnervated muscles. However, satisfactory eye closure, eating and speaking were obtained in all five cases. Indication and other problems of this technique were discussed.
耳鼻咽喉科臨床学会の論文