sibneiroСибнейроSibneuro3033-649X3033-6805Bervitskiy Anatoliy Vladimirovich10.64265/3033-649X-2026.2.1.34-43sibneiro-60Research ArticleОригинальные исследованияOriginal researchОценка отдаленных результатов хирургического лечения больных с лицевым параличом методом тригеминальной невротизацииEvaluation of long-term results of surgical treatment of patients with facial paralysis by trigeminal neurotizationhttps://orcid.org/0000-0003-2385-7456ЗотовА. В.ZotovA. V.

Зотов Александр Владимирович – врач-нейрохирург

ул. Немировича-Данченко, д. 132/1, Новосибирск, 630087

Aleksandr V. Zotov – Neurosurgeon

Nemirovicha-Danchenko str., 132/1, Novosibirsk, 630087

dr-zotov@mail.ruhttps://orcid.org/0000-0001-7003-5549КалиновскийА. В.KalinovskiyA. V.

Калиновский Антон Владимирович – кандидат медицинских наук, врач-нейрохирург, заведующий онкологическим отделением

ул. Немировича-Данченко, д. 132/1, Новосибирск, 630087

Anton V. Kalinovskiy – Candidate of Medical Sciences (Ph.D.)

Nemirovicha-Danchenko str., 132/1, Novosibirsk, 630087

akalinovskiy1980@gmail.comhttps://orcid.org/0000-0002-0331-625XКасымовА. Р.KasymovA. R.

Касымов Агададаш Равшанович – врач-нейрохирург

ул. Немировича-Данченко, д. 132/1, Новосибирск, 630087

Agadadash R. Kasymov – Neurosurgeon

Nemirovicha-Danchenko str., 132/1, Novosibirsk, 630087

dadash_kasymov@mail.ruИвановаП. Ю.IvanovaP. Yu.

Иванова Полина Юрьевич –врач-нейрохирург

ул. Немировича-Данченко, д. 132/1, Новосибирск, 630087

Polina Yu. Ivanova – Neurosurgeon

Nemirovicha-Danchenko str., 132/1, Novosibirsk, 630087

pelageya_2018@bk.ruhttps://orcid.org/0009-0001-8194-450XИскандарянН. Р.IskandaryanN. R.

Искандарян Наира Робертовна – врач – нейрохирург

ул. Немировича-Данченко, д. 132/1, Новосибирск, 630087

Naira R. Iskandaryan – Neurosurgeon

Nemirovicha-Danchenko str., 132/1, Novosibirsk, 630087

neuro.surg@bk.ruФедеральный центр нейрохирургии Минздрава РоссииРоссияFederal Neurosurgical CenterRussian Federation202627032026213443Copyright © Зотов А.В., Калиновский А.В., Касымов А.Р., Иванова П.Ю., Искандарян Н.Р., 20262026Зотов А.В., Калиновский А.В., Касымов А.Р., Иванова П.Ю., Искандарян Н.Р.Zotov A.V., Kalinovskiy A.V., Kasymov A.R., Ivanova P.Y., Iskandaryan N.R.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sibneurojournal.com/jour/article/view/60

Постоперационный паралич лицевого нерва является самым часто выявляемым осложнением при хирургии опухолей мосто-мозжечкового угла (ММУ).

Цель исследования

Цель исследования. Ретроспективная оценка отдаленных результатов тригеминальной невротизации лицевого нерва с учетом сроков проведенной реиннервации.

Методы

Методы. В период с 2013 по 2020г. было проведено хирургическое лечение 67пациентов в сроки от 1 до 13месяцев после выявления паралича лицевого нерва. Практически во всех случаях (66пациентов) паралич лицевого нерва был результатом хирургического лечения объемных образований ММУ, в одном случае паралич развился вследствие травмы. Функция лицевого нерва оценивалась как в дооперационном периоде, так и в катамнезе. Для этого использовались шкала House – Brackmann (HB) и электромиография. Катамнез насчитывал от 15 до 98месяцев.

Результаты

Результаты. У 61пациента наблюдалось функциональное восстановление лицевого нерва с 6-й до III или IV степени по шкале НВ (91 %). Пациенты, прооперированные в ранние сроки после развития лицевого паралича, показали лучшее послеоперационное восстановление (rСпирмена = 0,3; p = 0,038).

Заключение

Заключение. Результаты оперативного лечения указывают на то, что реиннервация, выполненная в ранние сроки у пациентов с лицевым параличом, демонстрирует существенный регресс лицевого паралича без развития дополнительных осложнений.

Postoperative facial nerve paralysis is the most frequently detected complication in surgery of tumors of the cerebellar bridge angle.

The aim of the study

The aim of the study. To carry out a retrospective assessment of the long-term results of trigeminal neurotization of the facial nerve, taking into account the timing of reinnervation.

Methods

Methods. In the period from 2013 to 2020, 67 patients underwent surgical treatment, within a period of 1 to 13 months after the detection of facial nerve paralysis. In almost all cases, facial nerve paralysis was the result of surgical treatment of tumors of cerebello-pontine angle (66 patients), in one case, paralysis developed as a result of traumatic injury. The function of the facial nerve was evaluated both in the preoperative period and in the catamnesis. The House – Brackmann (HB) scale and electromyography were used for this purpose. The catamnesis lasted from 15 to 98 months.

Results

Results. In 61 patients, functional restoration ofthefacial nerve wasobserved from grade6 tograde3 or 4 HB (91 %). Patients operated on early after the development of facial paralysis showed better postoperative recovery (Spearman’s r = 0.3; p = 0.038).

Conclusion

Conclusion. The results of surgical treatment indicate that early reinnervation in patients with facial paralysis demonstrates a significant regression of facial paralysis without the development of additional complications.

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The authors declare that there are no conflicts of interest present.