顔面神経麻痺の神経再建手術

Neural Reconstruction for Facial Nerve Palsy

Point

・陳旧性顔面神経麻痺後遺症では，神経再建手術が有効な場合がある．

・舌下神経—顔面神経間神経移植術（クロスリンク法）では，腓腹神経を2カ所の端側神経縫合で移植する．

・端側神経縫合では，神経上膜開窓法や神経部分切除（切開）法が用いられる．

　The basic techniques of nerve reconstruction surgery for facial nerve palsy are end-to-end nerve suture and end-to-side nerve suture. The latter has the epineural window method and the partial neurectomy/neurotomy method for the treatment of “side” nerves. Hypoglossal-facial nerve cross-link graft is a method of nerve reconstruction in which the hypoglossal and facial nerves are bridged by autologous nerve transposition with end-to-side nerve suture. It has been shown to be effective in treating the sequelae of established facial nerve palsy, but there are some issues that prevent the achievement of stable results.