Facial Reanimation with the VII–XII Anastomosis: Analysis of the Functional and Psychologic Results

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Abstract
The VII-XII anastomosis has been employed for more than a decade by The Otology Group, P.C., In the facial reanimation of patients undergoing extirpation of tumors involving the cerebellopontine angle and the skull base. A retrospective review based upon a detailed questionnaire and submitted photographic documentation from 61 patients forms the basis for this review. Details and analysis of the functional results include (1) onset of function, (2) synkinetic activity, (3) corneal irritation and associated ophthalmologic problems, (4) facial tone and symmetry, and (5) volitional mimetic function. From a psychosocial perspective, evaluation was made regarding (1) workplace and home acceptance, (2) self consciousness, (3) adaption, and (4) overall satisfaction. Because of the nature of its technical performance and reliability, the VII-XII anastomosis is an important technique for the otolaryngologist to be familiar with. Cognizance of the functional and psychologic results with this procedure will ensure optimal (yet realistic) rehabilitation for this patient population.