Desde Septiembre de 1976 hasta Febrero de 1990 se han tratado 30 pacientes afectos de una parálisis facial periférica yatrógena secundaria a la actuación neuroquirúrgica en el ángulo pontocerebeloso o a cirugía de la glándula parótida practicándoseles una anastómosis hipogloso-facial que se complementó con la hipoglosohipogloso en un 43,33% de los casos. Los pacientes se distribuyeron en dos grupos: anastómosis precoces y tardías, constatándose en el grupo de las primeras un 61,54% de reinervaciones excesivas, y en las segundas un 94,12% de resultados buenos y excelentes. En este estudio se analizan y discuten estos resultados.
Between September 1976 and February 1990 a series of 30 patients with peripheral facial paralysis after resection of acoustic neuromas or parotid-gland surgery were treated by hypoglossal-facial anastomosis (hypoglossal-facial/hypoglossal-hypoglossal in 43,33% of cases). Patients were separated into two groups: early and delayed anastomosis. In the first group 61,54% of the patiens presented- excessive reinnervation and in the second group 94,12% of the patiens had good or excellent results. The results are analyzed and discussed.
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