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Evaluation of VIIth–XIIth cranial nerve anastomosis results by age

Published online by Cambridge University Press:  10 February 2020

F C Eravcı ,
F Karaloğlu ,
H Tutar ,
F K Bakkal ,
V B Tutar  and
R Karamert
F C Eravcı*
Affiliation:
Department of Otorhinolaryngology, Ankara City Hospital, , Turkey Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey
F Karaloğlu
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey FK Private Practice in Otorhinolaryngology, Ankara, Turkey
H Tutar
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey
F K Bakkal
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey Department of Otorhinolaryngology, Usak University Education and Research Hospital, Turkey
V B Tutar
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey Otorhinolaryngology, Ankara Gölbaşı Şehit Ahmet Özsoy State Hospital, Turkey
R Karamert
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey
*
Author for correspondence: Dr Fakih Cihat Eravcı, M Akif Ersoy mah M Akif Ersoy Cad No:1 D:28, 06200 Yenimahalle, Ankara, Turkey E-mail: [email protected]
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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.

Keywords

Facial NerveHypoglossal NerveSurgical AnastomosisNeurosurgical ProceduresAge FactorsAcoustic Neuroma
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 2 , February 2020 , pp. 165 - 168
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Dr F C Eravcı takes responsibility for the integrity of the content of the paper

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