scholarly journals Erratum to: “Masseter-to-Facial Cranial Nerve Anastomosis: A Report of 30 Cases” by Zotov et al. Operative Neurosurgery, opaa140, https://doi.org/10.1093/ons/opaa140

2020 ◽  
Vol 19 (5) ◽  
pp. 625-625
Keyword(s):  
Cranial Nerve ◽  
Nerve Anastomosis ◽  
Operative Neurosurgery

scholarly journals Jugular foramen tumors: diagnosis and treatment

2004 ◽  
Vol 17 (2) ◽  
pp. 31-40 ◽  
Author(s):  
Ricardo Ramina ◽  
Joao Jarney Maniglia ◽  
Yvens Barbosa Fernandes ◽  
Jorge Rizzato Paschoal ◽  
Leopoldo Nizan Pfeilsticker ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Skull Base ◽  
Cranial Nerve ◽  
Cranial Nerves ◽  
Jugular Foramen ◽  
Lower Cranial Nerve ◽  
Nerve Paralysis ◽  
Great Auricular Nerve ◽  
Csf Leakage ◽  
Nerve Anastomosis

Object Jugular foramen tumors are rare skull base lesions that present diagnostic and complex management problems. The purpose of this study was to evaluate a series of patients with jugular foramen tumors who were surgically treated in the past 16 years, and to analyze the surgical technique, complications, and outcomes. Methods The authors retrospectively studied 102 patients with jugular foramen tumors treated between January 1987 and May 2004. All patients underwent surgery with a multidisciplinary method combining neurosurgical and ear, nose, and throat techniques. Preoperative embolization was performed for paragangliomas and other highly vascularized lesions. To avoid postoperative cerebrospinal fluid (CSF) leakage and to improve cosmetic results, the surgical defect was reconstructed with specially developed vascularized flaps (temporalis fascia, cervical fascia, sternocleidomastoid muscle, and temporalis muscle). A saphenous graft bypass was used in two patients with tumor infiltrating the internal carotid artery (ICA). Facial nerve reconstruction was performed with grafts of the great auricular nerve or with 12th/seventh cranial nerve anastomosis. Residual malignant and invasive tumors were irradiated after partial removal. The most common tumor was paraganglioma (58 cases), followed by schwannomas (17 cases) and meningiomas (10 cases). Complete excision was possible in 45 patients (77.5%) with paragangliomas and in all patients with schwannomas. The most frequent and also the most dangerous surgical complication was lower cranial nerve deficit. This deficit occurred in 10 patients (10%), but it was transient in four cases. Postoperative facial and cochlear nerve paralysis occurred in eight patients (8%); spontaneous recovery occurred in three of them. In the remaining five patients the facial nerve was reconstructed using great auricular nerve grafts (three cases), sural nerve graft (one case), and hypoglossal/facial nerve anastomosis (one case). Four patients (4%) experienced postoperative CSF leakage, and four (4.2%) died after surgery. Two of them died of aspiration pneumonia complicated with septicemia. Of the remaining two, one died of pulmonary embolism and the other of cerebral hypoxia caused by a large cervical hematoma that led to tracheal deviation. Conclusions Paragangliomas are the most common tumors of the jugular foramen region. Surgical management of jugular foramen tumors is complex and difficult. Radical removal of benign jugular foramen tumors is the treatment of choice, may be curative, and is achieved with low mortality and morbidity rates. Larger lesions can be radically excised in one surgical procedure by using a multidisciplinary approach. Reconstruction of the skull base with vascularized myofascial flaps reduces postoperative CSF leaks. Postoperative lower cranial nerves deficits are the most dangerous complication.

Evaluation of VIIth–XIIth cranial nerve anastomosis results by age

2020 ◽  
Vol 134 (2) ◽  
pp. 165-168
Author(s):  
F C Eravcı ◽  
F Karaloğlu ◽  
H Tutar ◽  
F K Bakkal ◽  
V B Tutar ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Cranial Nerve ◽  
Pearson Correlation ◽  
Statistical Significance ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Facial Movement ◽  
Significant Difference ◽  
Nerve Anastomosis ◽  
Grade Iii

AbstractObjectiveTo evaluate VIIth–XIIth cranial nerve (hypoglossal–facial nerve) anastomosis results by age.MethodA total of 34 patients who attended a follow-up visit in 2016, aged 20–63 years, were enrolled. The House–Brackmann facial nerve function grading system and the Facial Clinimetric Evaluation scale were applied.ResultsRegarding post-anastomosis facial nerve function, in the group aged 40 years or less, 14 patients (78 per cent) had House–Brackmann grade III and 4 patients (22 per cent) had House–Brackmann grade IV facial nerve function post-anastomosis. In the group aged over 40 years, nine patients (56 per cent) had House–Brackmann grade III and seven patients (44 per cent) had House–Brackmann grade IV facial nerve function post-anastomosis. There was a statistically significant difference between the two groups in mean facial movement domain scores (p = 0.02). Analysis between age and facial movement score in all 34 patients demonstrated a moderate negative correlation (Pearson correlation coefficient: −0.38) and statistical significance (p = 0.02).ConclusionFacial reanimation yielded better results in younger than in older patients.

Management of Cranial Nerve Injury Following Surgery of the Skull Base

1984 ◽  
Vol 17 (3) ◽  
pp. 577-589 ◽  
Author(s):  
Robert Thayer Sataloff ◽  
Donald L. Myers ◽  
Frederic B. Krenter
Keyword(s):  
Skull Base ◽  
Nerve Injury ◽  
Cranial Nerve ◽  
Cranial Nerve Injury

Facial nerve outcome after acoustic neuroma surgery: A study from the era of cranial nerve monitoring

1994 ◽  
Vol 111 (5) ◽  
pp. 561-570 ◽  
Author(s):  
A LALWANI ◽  
F BUTT ◽  
R JACKLER ◽  
L PITTS ◽  
C YINGLING
Keyword(s):  
Facial Nerve ◽  
Acoustic Neuroma ◽  
Cranial Nerve ◽  
Nerve Monitoring ◽  
Acoustic Neuroma Surgery
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