PDF(Pubmed)
Abstract：
The facial nerve plays a crucial role in facial expression and sensory functions, with irreversible injuries often demanding rehabilitation therapies, with hypoglossal-facial nerve anastomosis (HFA) being one of the treatment options. This systematic review assessed different HFA techniques for facial paralysis, particularly post vestibular schwannoma resection, focusing on effectiveness and associated morbidities. Fifteen studies, comprising a case series and a retrospective cohort, were analyzed. Techniques included end-to-end, split, side-to-side, end-to-side, and jump interpositional graft hypoglossal-facial anastomosis (JIGHFA). Positive outcomes were observed with end-to-end and side-to-side techniques, while the split technique and JIGHFA showed promise. Comparative analyses favored the \'end-to-side\' approach. Shorter intervals between surgery and HFA correlated with improved outcomes. Methodological variations highlight the need for prospective studies with standardized methodologies for robust evidence and informed decision-making on optimal HFA techniques.
摘要：
面神经在面部表情和感觉功能中起着至关重要的作用,不可逆转的伤害通常需要康复治疗，舌下神经-面神经吻合术（HFA）是治疗选择之一。这项系统评价评估了不同的HFA技术治疗面瘫，尤其是前庭神经鞘瘤切除术后，专注于有效性和相关的发病率。15项研究,包括病例系列和回顾性队列，进行了分析。技术包括端到端，split,并排,端到端,和跳跃间位移植物舌下面吻合（JIGHFA）。使用端到端和侧向技术观察到积极的结果，而拆分技术和JIGHFA显示出了希望。比较分析倾向于“端到端”方法。手术和HFA之间的较短间隔与改善的结果相关。方法的变化突出表明，需要采用标准化方法进行前瞻性研究，以提供有力的证据，并就最佳HFA技术做出明智的决策。
