Primary clinical outcome of the tongue mobility via deep cervical nerve or accessory nerve-restored sublingual nerve.
- Author:
Wen LI
1
;
Zhe CHEN
;
Xiaoxu LEI
;
Haigang YANG
Author Information
1. Department of Otolaryngology Head and Neck Surgery, West China Hospital, Chengdu, 610041, China.
- Publication Type:Case Reports
- MeSH:
Accessory Nerve;
surgery;
Adult;
Anastomosis, Surgical;
Cervical Plexus;
surgery;
Female;
Head and Neck Neoplasms;
surgery;
Humans;
Hypoglossal Nerve;
surgery;
Middle Aged;
Neck;
innervation;
Neurosurgical Procedures;
methods;
Paraganglioma;
surgery;
Reconstructive Surgical Procedures;
methods;
Retrospective Studies;
Treatment Outcome
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2011;25(3):116-118
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the clinical prognosis of sublingual nerve anastomosis with a branch of the deep cervical nerves or accessory nerve.
METHOD:To retrospectively analyze 2 cases of paraganglion tumor,in which the sublingual nerve were disconnected because of overdrawing of surrounding tissue and tumor invasion. One branch of deep cervical nerve or accessory nerve was dissected and anastomosed to the distal end of sublingual nerve. Steroids and nerve nutritional chemicals were given after operation, and early functional physical exercise was recommended for the two patients.
RESULT:The lingual mobility of the two patients was restored partially 1 to 2 months after operation, while the tongue of lesion side suffered from slight atrophy especially in the posterior 1/2 part. The patients experienced better and better mobility of the tongue.
CONCLUSION:Sublingual nerve anastomosis with a branch of the deep cervical nerves or accessory nerve is viable. It could be a reconstructive modality for patients suffered from sublingual nerve disconnected.
