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KMID : 0361020010440101107
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Korean Journal of Otolaryngology - Head and Neck Surgery
2001 Volume.44 No. 10 p.1107 ~ p.1111
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A Case of Direct Hypoglossal-Facial Nerve Side-to-End Anastomosis
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Abstract
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When a surgeon fails to save intracranial segement of the facial nerve and can not identify the proximal segment of the facial nerve due to severe adhesion or severe brain stem compression by the tumor, the interpositional graft has no place in
helping
this patient. Hypoglossal-facial nerve (XII - VII) direct side to end anastomosis is the effective facial reanimation technique used in such a case. This technique compensates for the drawbacks of classical XII - VII anastomosis, and the
bothersome
strong mass movement and hemiparalysis of the tongue. We recently experienced a case where XII - VII direct side-to-end anastomosis was applied. We report our case with literature review.
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