舌下-面神经和颈-舌下神经同时吻合治疗面瘫疗效的影响因素

IF 1.9 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Clinical Neuroscience Pub Date : 2025-05-02 DOI:10.1016/j.jocn.2025.111288

Xiaomin Cai , Mengshu Qian , Yiman Shen , Yan Yuan , Xuan Zheng , Tingting Ying , Jun Zhong , Zhongding Zhang , Hua Zhao , Yinda Tang , Ya Zhao , Shiting Li

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引用次数: 0

摘要

目的应用舌下-面神经和颈-舌下神经吻合术治疗桥小脑角（CPA）肿瘤切除术后严重面瘫。然而，术后患者面部功能恢复和舌功能障碍差异显著。本研究确定了影响这些结果的预后因素。方法回顾性随访2019年7月- 2022年12月43例面瘫患者行HFCHA行CPA肿瘤切除术。根据患者面部功能或舌功能的恢复情况分为两组：恢复良好组和恢复较差组；或者舌功能障碍组和舌功能正常组。使用单变量和多变量分析评估潜在的预后因素。结果持续时间小于10.75个月的面瘫患者在手术干预后面部功能恢复改善的可能性增加。与术后进行较长时间舌头康复训练的患者相比，运动时间短于4.5个月的患者在术后表现出舌头功能障碍的倾向。结论缩短面神经损伤与手术之间的时间间隔有助于面神经麻痹的恢复。术后较长时间的舌头康复练习也可能潜在地缓解舌头功能障碍。

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Factors influencing outcomes of simultaneous hypoglossal-facial and cervical-hypoglossal nerve anastomoses for facial palsy

Objective

The hypoglossal-facial and cervical-hypoglossal nerve anastomoses (HFCHA) technique addresses severe facial palsy after cerebellopontine angle (CPA) tumor resection. However, postoperative facial function recovery and tongue dysfunction vary significantly among patients. This study identifies prognostic factors influencing these outcomes.

Methods

We retrospectively followed up on 43 patients with facial palsy who underwent HFCHA for CPA tumor resection (July 2019–December 2022). The patients were divided into two groups based on their recovery of facial function or tongue function: the good recovery group and the poor recovery group; or the tongue dysfunction group and the normal tongue function group. Potential prognostic factors were evaluated using univariate and multivariable analyses.

Results

Patients with a duration of facial palsy less than 10.75 months may exhibit an increased likelihood of achieving improved facial function recovery following surgical intervention. Compared to individuals who engaged in longer postoperative tongue rehabilitation exercises, patients whose exercise duration was shorter than 4.5 months demonstrated a tendency towards experiencing tongue dysfunction after surgery.

Conclusions

A shorter time interval between facial nerve injury and surgery helps with the recovery of facial palsy. Longer postoperative tongue rehabilitation exercises may also potentially alleviate tongue dysfunction.

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来源期刊

Journal of Clinical Neuroscience 医学-临床神经学

CiteScore

4.50

自引率

0.00%

发文量

402

审稿时长

40 days

期刊介绍： This International journal, Journal of Clinical Neuroscience, publishes articles on clinical neurosurgery and neurology and the related neurosciences such as neuro-pathology, neuro-radiology, neuro-ophthalmology and neuro-physiology. The journal has a broad International perspective, and emphasises the advances occurring in Asia, the Pacific Rim region, Europe and North America. The Journal acts as a focus for publication of major clinical and laboratory research, as well as publishing solicited manuscripts on specific subjects from experts, case reports and other information of interest to clinicians working in the clinical neurosciences.