Laryngorhinootologie 2005; 84(9): e1-e4
DOI: 10.1055/s-2005-915983
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© Georg Thieme Verlag KG Stuttgart · New York

Mimische Rehabilitation nach Akustikusneurinomentfernung: Das Göttinger Konzept[*]

Mimic Rehabilitation after Removal of Acoustic Neurinomas: The Goettingen Concept[*] Maik Ellies1 , R. Laskawi1
  • 1Göttingen
Further Information

Publication History

Publication Date:
23 September 2005 (online)

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Abstract

This report summarises update approaches to rehabilitation, according to the Göttingen rehabilation concept, after surgery of acoustic neurinomas. It has again been possible to substantially improve the results of rehabilitation. This is particularly true of hypoglossus facialis jump anastomosis as an alternative to hypoglossus facialis anastomosis. Additional progress was also achieved in treating synkinesias as a result of more extensive and improved on-target injection of botulinum toxin A. Our experience has shown that, in rehabilitation, on-target resection of parts of platysma is a useful procedure.

1 Auszugsweise vorgetragen auf der 5. Jahrestagung der Norddeutschen Gesellschaft fur Otorhinolaryngologie und zervikofaziale Chirurgie, Schwerin, 29. Mai 2005

Literaturverzeichnis

  • 1 Stennert E . Hypoglossal facial anastomosis: Its significance for modern facial surgery. II. Combined approach in extratemporal facial nerve reconstruction.  Clin Plast Surg. 1979;  63 471
    PubMedGoogle Scholar
  • 2 Ebersold MJ . Harner SG . Beatty CW . Harper CM Jr . Quast LM . Current results of the retrosigmoid approach to acoustic neurinoma.  J Neurosurg. 1992;  73 901
    PubMedGoogle Scholar
  • 3 Schröder M . Rekonstruktive Chirurgie des Nervus Facialis. In B. Freigang, and H. Weerda (Eds.). Fibrinklebung in der Otorhinolaryngologie.  Berlin, Heidelberg: Springer-Verlag. 1992;  143-149
    PubMedGoogle Scholar
  • 4 Matsunaga T . Kanzaki J . O-Uchi T . et al. . Functional and histological evaluation of the facial nerve in patients who have undergone hypoglossal-facial nerve anastomosis after removal of cerebellopontine angle tumors.  ORL J Otorhinolaryngol Relat Spec. 1995;  57 153
    PubMedGoogle Scholar
  • 5 Samii M . Matthies C . Indication, technique and results of facial nerve reconstruction.  Acta Neurochir (Wien). 1994;  130 125
    CrossrefPubMedGoogle Scholar
  • 6 Korte W . Ein Fall von Nervenpfropfung des Nervus facialis auf den Nervus hypoglossus.  Dtsch Med Wochenschr. 1903;  29 293
    PubMedGoogle Scholar
  • 7 Conley J . Baker DC . Hypoglossal-facial nerve anastomosis for reinnervation of the paralyzed face.  Plast Reconstr Surg. 1979;  63 63
    CrossrefPubMedGoogle Scholar
  • 8 Rosenwasser WH . Liebman E . Jimenez DF . Buchheit WA . Andrews DW . Facial reanimation alter facial nerve injury.  Neurosurgery. 1991;  29 568
    CrossrefPubMedGoogle Scholar
  • 9 Berges C . Boutault F . Fraysse B . Rehabilitation of long term facial paralysis.  Rev Laryngol Otol Rhinol. 1994;  116 41
    PubMedGoogle Scholar
  • 10 Kiese-Himmel C . Laskawi R . Wrede S . Psychosoziale Probleme und Krankheitsverarbeitung von Patienten mit Defektheilung nach Fazialisparese.  HNO. 1993;  41 261
    PubMedGoogle Scholar
  • 11 Laskawi R . Combination of hypoglossal-facial nerve anastomosis and botulinum-toxin injections to optimize mimic rehabilitation after removal of acoustic neurinomas.  Plast Reconstr Surg. 1997;  99 1006
    PubMedGoogle Scholar
  • 12 May M . Sobol SM . Mester SJ . Hypoglossal-facial nerve interpositional-jump graft for facial reanimation without tongue atrophy.  Otolaryngol Head Neck Surg. 1991;  104 818
    CrossrefPubMedGoogle Scholar
  • 13 Laskawi R . Roggenkämper P . Synkinesien.  In Laskawi R, Roggenkämper P (Hrsg.). Botulinumtoxin-Therapie im Kopf-Hals-Bereich. 2te Ausgabe. München: Urban & Vogel Verlag. 2004;  102 113
    PubMedGoogle Scholar

1 Auszugsweise vorgetragen auf der 5. Jahrestagung der Norddeutschen Gesellschaft fur Otorhinolaryngologie und zervikofaziale Chirurgie, Schwerin, 29. Mai 2005

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