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01-02-2021 | Cardiopulmonary Resuscitation | Review

Comparison between VII-to-VII and XII-to-VII coaptation techniques for early facial nerve reanimation after surgical intra-cranial injuries: a systematic review and pooled analysis of the functional outcomes

Authors: Luca Ricciardi, Vito Stifano, Resi Pucci, Vittorio Stumpo, Nicola Montano, Marco Della Monaca, Liverana Lauretti, Alessandro Olivi, Valentino Valentini, Carmelo Lucio Sturiale

Published in: Neurosurgical Review | Issue 1/2021

Abstract

The surgical injury of the intracranial portion of the facial nerve (FN) is a severe complication of many skull base procedures, and it represents a relevant issue in terms of patients’ discomfort, social interactions, risk for depression, and social costs. The aim of this study was to investigate the surgical and functional outcomes of the most common facial nerve rehabilitation techniques. The present study is a systematic review of the pertinent literature, according to the PRISMA guidelines. Two different online medical databases (PubMed, Scopus) were screened for studies reporting the functional outcome, measured by the House-Brackman (HB) scale, and complications, in FN early reanimation, following surgical injuries on its intracranial portion. Data on the VII-to-VII and XII-to-VII coaptation, the surgical technique, the use of a nerve graft, the duration of the deficit, and complications were collected and pooled. The XII-to-VII end-to-side coaptation seems to provide higher chances for functional restoration (HB 1–3) than the VII-to-VII (68.8% vs 60.6%), regardless of the duration of the palsy deficit, the use or not of a nerve graft, and the use of stitches or glues. However, its complication rate was as high as 28.6%, and a second procedure is then often needed. The XII-to-VII side-to-end coaptation is the most effective in providing a functional outcome (HB 1–3), even though it is associated to a higher complication rate. Further trials are needed to better investigate this relevant topic, in terms of health-related social costs and patients’ quality of life.

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Title: Comparison between VII-to-VII and XII-to-VII coaptation techniques for early facial nerve reanimation after surgical intra-cranial injuries: a systematic review and pooled analysis of the functional outcomes
Authors: Luca Ricciardi
Vito Stifano
Resi Pucci
Vittorio Stumpo
Nicola Montano
Marco Della Monaca
Liverana Lauretti
Alessandro Olivi
Valentino Valentini
Carmelo Lucio Sturiale
Publication date: 01-02-2021
Publisher: Springer Berlin Heidelberg
Keyword: Cardiopulmonary Resuscitation
Published in: Neurosurgical Review / Issue 1/2021
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-019-01231-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparison between VII-to-VII and XII-to-VII coaptation techniques for early facial nerve reanimation after surgical intra-cranial injuries: a systematic review and pooled analysis of the functional outcomes

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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