COMPARATIVE EVALUATION OF VARIOUS TYPES OF SURGICAL TREATMENT OF PERIPHERAL PARESIS OF THE FACIAL NERVE OF DIFFERENT GENESIS

Аннотация

The results of surgical treatment of facial nerve palsy (FNP) of various origins in 82 patients in the period 2015-2022 were analyzed. There were 48 (58.5%) women and 34 (41.5%) men. Combined neurotization by masticatory branches with simultaneous control-lateral (Cross) neurotization of the FN improved the function of the facial nerve to level II-III on the House-Brackmann scale in 86.6% of patients. Neurotization of the FN by the branches of the masticatory nerve or the descending branch of the hypoglossal and the branch of the accessory nerve in most cases improves the function of the FN to clinical grade III according to House-Brackmann. The choice of surgical treatment tactics should be chosen individually, taking into account factors such as the degree of damage to the mimic muscles, the age of the patient, the duration of the disease and the prevailing clinical symptom.