Preservation of Facial Nerve Function Repaired by Using Fibrin Glue-Coated Collagen Fleece for a Totally Transected Facial Nerve during Vestibular Schwannoma Surgery

Title
Preservation of Facial Nerve Function Repaired by Using Fibrin Glue-Coated Collagen Fleece for a Totally Transected Facial Nerve during Vestibular Schwannoma Surgery
Author(s)
김오룡최경식장성호김민수
Keywords
FIBER TRACKING; ACOUSTIC NEUROMA; TRACTOGRAPHY; RESECTION; VISUALIZATION; PALSY
Issue Date
201404
Publisher
KOREAN NEUROSURGICAL SOC
Citation
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, v.55, no.4, pp.208 - 211
Abstract
Recently, the increasing rates of facial nerve preservation after vestibular schwannoma (VS) surgery have been achieved. However, the management of a partially or completely damaged facial nerve remains an important issue. The authors report a patient who was had a good recovery after a facial nerve reconstruction using fibrin glue-coated collagen fleece for a totally transected facial nerve during VS-surgery. And, we verifed the anatomical preservation and functional outcome of the facial nerve with postoperative diffusion tensor (DT) imaging facial nerve tractography, electroneurography (ENoG) and House-Brackmann (HB) grade. DT imaging tractography at the 3rd postoperative day revealed preservation of facial nerve. And facial nerve degeneration ratio was 94.1% at 7th postoperative day ENoG. At postoperative 3 months and 1 year follow-up examination with DT imaging facial nerve tractography and ENoG, good results for facial nerve function were observed.
URI
http://hdl.handle.net/YU.REPOSITORY/32539http://dx.doi.org/10.3340/jkns.2014.55.4.208
ISSN
2005-3711
Appears in Collections:
의과대학 > 신경외과학교실 > Articles
의과대학 > 재활의학교실 > Articles
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