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Titolo:
REROUTING OF THE INTRATEMPORAL FACIAL-NERVE - AN ANALYSIS OF THE LITERATURE
Autore:
SELESNICK SH; ABRAHAM MT; CAREW JF;
Indirizzi:
CORNELL UNIV,MED CTR,NEW YORK HOSP,DEPT OTORHINOLARYNGOL,COLL MED,STARR BLDG,STE 541 NEW YORK NY 10021 CORNELL UNIV,MED CTR,NEW YORK HOSP,DEPT NEUROL,COLL MED NEW YORK NY 10021 MANHATTAN EYE EAR & THROAT HOSP,DEPT OTOLARYNGOL NEW YORK NY 10021
Titolo Testata:
The American journal of otology
fascicolo: 5, volume: 17, anno: 1996,
pagine: 793 - 805
SICI:
0192-9763(1996)17:5<793:ROTIF->2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
GLOMUS-JUGULARE TUMORS; MODIFIED TRANSCOCHLEAR APPROACH; INFRATEMPORAL FOSSA APPROACH; SKULL-BASE; TEMPORAL BONE; CEREBELLOPONTINE ANGLE; PETROUS APEX; SURGERY; MENINGIOMAS; FORAMEN;
Keywords:
FACIAL NERVE ANATOMY; FACIAL NERVE REROUTING; INFRATEMPORAL FOSSA TYPE A SURGERY; TRANSCOCHLEAR CRANIOTOMY; SKULL BASE SURGERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
82
Recensione:
Indirizzi per estratti:
Citazione:
S.H. Selesnick et al., "REROUTING OF THE INTRATEMPORAL FACIAL-NERVE - AN ANALYSIS OF THE LITERATURE", The American journal of otology, 17(5), 1996, pp. 793-805

Abstract

Anterior rerouting of the intratemporal facial nerve in the infratemporal fossa approach is employed to access to the jugular bulb, hypotympanum, and lateral skull base, whereas posterior rerouting of the facial nerve, as employed in the transcochlear craniotomy, is most frequently used for surgery of the posterior fossa, cerebellopontine angle, prepontine region, and petrous apex. Facial nerve rerouting may lead tofacial paresis or paralysis. This review of the literature is intended to define the physiologic ''cost'' of these procedures, so that the neurotologic surgeon can determine if the morbidity incurred in these techniques is worth the resultant exposure. Inconsistencies in reporting facial function places into question the validity of some of the cumulative data reported. Postoperatively, grades I-II facial nerve function was seen in 91% of patients undergoing short anterior rerouting, 74% of patients undergoing long anterior rerouting, and 26% of patients undergoing posterior complete rerouting. Although facial nerve rerouting allows unhindered exposure to previously inaccessible regions, itis achieved at the cost of facial nerve function. Facial nerve dysfunction increases with the length of facial nerve rerouted.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/08/20 alle ore 16:12:41