Evaluation of VIIth-XIIth cranial nerve anastomosis results by age

Eravcl F., Karaloǧlu F., TUTAR H., BAKKAL F. K., TUTAR V., KARAMERT R.

Journal of Laryngology and Otology, vol.134, no.2, pp.165-168, 2020 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 134 Issue: 2
  • Publication Date: 2020
  • Doi Number: 10.1017/s0022215120000298
  • Journal Name: Journal of Laryngology and Otology
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, CINAHL, EMBASE, MEDLINE, MLA - Modern Language Association Database, Veterinary Science Database
  • Page Numbers: pp.165-168
  • Keywords: Acoustic Neuroma, Age Factors, Facial Nerve, Hypoglossal Nerve, Neurosurgical Procedures, Surgical Anastomosis
  • Uşak University Affiliated: Yes

Abstract

Objective To evaluate VIIth-XIIth cranial nerve (hypoglossal-facial nerve) anastomosis results by age.Method A total of 34 patients who attended a follow-up visit in 2016, aged 20-63 years, were enrolled. The House-Brackmann facial nerve function grading system and the Facial Clinimetric Evaluation scale were applied.Results Regarding post-anastomosis facial nerve function, in the group aged 40 years or less, 14 patients (78 per cent) had House-Brackmann grade III and 4 patients (22 per cent) had House-Brackmann grade IV facial nerve function post-anastomosis. In the group aged over 40 years, nine patients (56 per cent) had House-Brackmann grade III and seven patients (44 per cent) had House-Brackmann grade IV facial nerve function post-anastomosis. There was a statistically significant difference between the two groups in mean facial movement domain scores (p = 0.02). Analysis between age and facial movement score in all 34 patients demonstrated a moderate negative correlation (Pearson correlation coefficient: -0.38) and statistical significance (p = 0.02).Conclusion Facial reanimation yielded better results in younger than in older patients.