[Methods of surgical reinnervation of the facial nerve at different levels of traumatic injury: A prospective cohort study].

Q3 Medicine

Zhurnal Nevrologii I Psikhiatrii Imeni S S Korsakova Pub Date : 2026-01-01 DOI:10.17116/jnevro202612607186

I M Shpitser, Yu I Makarova, F A Seleznev, O B Kulakov, D N Reshetov, R V Kutsenko

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引用次数: 0

Abstract

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.

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[面神经外科再神经植入术在不同程度创伤性损伤中的应用：一项前瞻性队列研究]。

目的：探讨外伤性面肌瘫痪患者面神经再神经修复的手术方法。材料与方法：纳入6例男性患者，平均年龄29±7岁。根据神经损伤的程度——无论是颞内还是颞外——患者接受三联选择性神经再植或经舌骨神经再植（XII），并伴有术中神经生理监测。结果：采用House-Brackmann量表、针肌电图和eFACE评分进行评估，结果显示有统计学意义上的显著改善(结论：这项前瞻性研究的结果表明，在创伤后面肌瘫痪患者中，采用分化手术方法进行面神经再植术的临床疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Zhurnal Nevrologii I Psikhiatrii Imeni S S Korsakova 医学-精神病学

CiteScore

1.10

自引率

0.00%

发文量

287

审稿时长

3-6 weeks

期刊介绍： Одно из старейших медицинских изданий России, основанное в 1901 году. Создание журнала связано с именами выдающихся деятелей отечественной медицины, вошедших в историю мировой психиатрии и неврологии, – С.С. Корсакова и А.Я. Кожевникова. Широкий диапазон предлагаемых журналом материалов и разнообразие форм их представления привлекают внимание научных работников и врачей, опытных и начинающих медиков, причем не только неврологов и психиатров, но и специалистов смежных областей медицины.