Journal of Korean Neurosurgical Society

  • 제55권4호
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  • Pages.208-211
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  • 2014
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Preservation of Facial Nerve Function Repaired by Using Fibrin Glue-Coated Collagen Fleece for a Totally Transected Facial Nerve during Vestibular Schwannoma Surgery

  • Choi, Kyung-Sik (Department of Neurosurgery, College of Medicine, Yeungnam University) ;
  • Kim, Min-Su (Department of Neurosurgery, College of Medicine, Yeungnam University) ;
  • Jang, Sung-Ho (Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University) ;
  • Kim, Oh-Lyong (Department of Neurosurgery, College of Medicine, Yeungnam University)
  • 투고 : 2013.07.07
  • 심사 : 2014.04.15
  • 발행 : 2014.04.28
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초록

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.

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참고문헌

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피인용 문헌

  1. Tractography in Neurosurgery: A Systematic Review of Current Applications vol.81, pp.5, 2014, https://doi.org/10.1055/s-0039-1691823