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March 1986

Facial Reanimation With VII-XII Cranial Nerve Anastomosis: Analysis of Functional and Psychologic Results

Author Affiliations


Arch Otolaryngol Head Neck Surg. 1986;112(3):257. doi:10.1001/archotol.1986.03780030021004

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The VII-XII cranial nerve anastomosis has been selectively employed for the restitution of mimetic function in individuals undergoing facial nerve sacrifice along with the removal of cerebellopontile angle and skull base tumors. Myles L. Pensak, MD, assistant professor, University of Cincinnati College of Medicine, Department of Otolaryngology, reviewed the experience at the Otologic Group, PC, by means of a detailed questionnaire and patient photographs documenting current mimetic status. The results, based on 61 responses, were reported at the meeting. Three variables discussed were reanimation potential, physical disability, and psychosocial disability.

Ninety percent of the patients regained facial movement to some degree. The primary area of initial reanimation was the mouth (58%), followed by the eyes (18%), the nasal region (15%), and, finally, the forehead (9%). Additionally, patients characterized their results as excellent to good, fair, and poor, based on specific criteria such as synkinesis, mass motion, symmetry at rest, hypoglossaloral

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