Evaluation of VIIth-XIIth cranial nerve anastomosis results by age.


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Eravci F. C. , Karaloglu F., Tutar H. , Bakkal F. K. , Tutar V. B. , Karamert R.

The Journal of laryngology and otology, ss.1-4, 2020 (SCI Expanded İndekslerine Giren Dergi) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası:
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1017/s0022215120000298
  • Dergi Adı: The Journal of laryngology and otology
  • Sayfa Sayıları: ss.1-4

Özet

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.