Ուղեղիկ-կամրջային անկյան նորագոյացությունների հեռացման ժամանակ վնասված դիմային նյարդի վիրահատական բուժումը, տարբերակների համեմատական գնահատականը

Abstract

The preoperative and surgical circumstances of nerve damage, the severity of damage, indications for reinnervation, method of execution, complications, and rate of reinnervation were studied in 35 patients. The best way to restore the facial nerve after intraoperative damage is reinnervation: positive dynamics can be noticed within the first 5 months. Nerve damage most often occurs when neurinomas measuring 4cm or larger are removed. Reinnervation is carried out by anastomosis of the central ends of the hypoglossal or accessory nerve with the peripheral end of the facial nerve, and they are equally effective. Reinnervation should be carried out 2 - 3 months after confirming nerve damage but within 6 months at the latest. The rate of nerve reinnervation is confirmed through clinical symptoms and ENMG. The best preventative measure for nerve preservation is early surgery for small tumors.