Differential Spinal Accessory-Facial Anastomosis with Preservation of Function of Trapezius
1962; American Association of Neurological Surgeons; Volume: 19; Issue: 11 Linguagem: Inglês
10.3171/jns.1962.19.11.0981
ISSN1933-0693
AutoresFloyd H. Bragdon, George H. Gray,
Tópico(s)Head and Neck Surgical Oncology
ResumoH ISTORICALLY, the use of the spinal accessory nerve as the proximal segment of a craniofacial type of anastomosis antedates all other procedures. While the first opinion that divided nerves should bc sutured was formulated by Guy de Chauliac 1~ in 1363, it was not unlil 1842 tha t Flourens 9 in Paris carried out the early experimentation on anastomosis of nerves. In 1879, Drobnik 7 performed the first anastomosis of the proxinml branch of the spinal accessory nerve to the distal branch of the facial nerve and, following this procedure, demonstrated increased symmet ry of the face. There followed then the work of Ballance ~ in 1895 and Faure* in 1898. An excellent return of function after spinal-facial anastomosis was reported by Kennedy 12 of London in 1901. A fairly satisfactory result in the use of the spinal accessory nerve in spinal accessory-facial anastomosis was reported by Harvey Cushing ~ in 1903. Additional eases of spinal-facial anastomosis were reported by Munch, 14 Girard, l~ and Beck a through 1908 and by Love and Cannon, la Caldwell 4 and others since tha t time. While it must be adinitted tha t the return of facial function after spinal-facial anastomosis does not approximate the function of the intact facial nerve, and with appropriate consideration to the claims of the proponents of hypoglossal-faeial anastomosis, glossopharyngeal-facial anastomosis, and phrenicofacial anastomosis tha t these tend to induce more satisfactory facial function with less a t tendant massive motion, we believe it can be stated fairly tha t one of the prime objections to the spinal-facial
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