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

Authors

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

Published in

Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. Volume 126. Issue 7. Pages 86-91.

Abstract

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.
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.
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.
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.

PMID:
42565403
Bibliographic data and abstract were imported from PubMed on 07 Aug 2026.

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