Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova · 2026
[Methods of surgical reinnervation of the facial nerve at different levels of traumatic injury: A prospective cohort study].
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Shpitser I M, Makarova Yu I, Seleznev F A, Kulakov O B, Reshetov D N, Kutsenko R V
Аннотация
OBJECTIVE: To evaluate the effectiveness of various surgical strategies for reinnervating the facial nerve in patients who have sustained post-traumatic paralysis of the facial muscles.
MATERIAL AND METHODS: The cohort included six male patients with a mean age of 29±7 years. Depending on the level of nerve lesion-whether intra- or extratemporal-patients underwent either triple selective reinnervation or reinnervation via the hyoid nerve (XII), accompanied by intraoperative neurophysiological monitoring.
RESULTS: Evaluations using the House-Brackmann scale, needle electromyography, and eFACE scores indicated statistically significant improvements (p<0.05) by 12 months of follow-up for all patients. These findings underscore the effectiveness of a tailored approach and the importance of neuromonitoring.
CONCLUSIONS: The findings from this prospective study demonstrate the clinical efficacy of a differentiated surgical approach to facial nerve reinnervation in patients with post-traumatic paralysis of the facial muscles.
MATERIAL AND METHODS: The cohort included six male patients with a mean age of 29±7 years. Depending on the level of nerve lesion-whether intra- or extratemporal-patients underwent either triple selective reinnervation or reinnervation via the hyoid nerve (XII), accompanied by intraoperative neurophysiological monitoring.
RESULTS: Evaluations using the House-Brackmann scale, needle electromyography, and eFACE scores indicated statistically significant improvements (p<0.05) by 12 months of follow-up for all patients. These findings underscore the effectiveness of a tailored approach and the importance of neuromonitoring.
CONCLUSIONS: The findings from this prospective study demonstrate the clinical efficacy of a differentiated surgical approach to facial nerve reinnervation in patients with post-traumatic paralysis of the facial muscles.