Sử dụng thần kinh sống phụ (dây XI) điều trị tổn thương thần kinh VII: Nhân 02 trường hợp đầu tiên tại Việt Nam

Abstract

Facial nerve injuries with various causes, such as after trauma, tumor dissection, radiotherapy, etc., resulting the patient’s functional, aesthetic, and psychological sequelae. For many decades, plastic surgeons have introduced numerous different nerve sources to overcome the above sequelae, such as contralateral facial nerve, the hypoglosal nerve, the masseter nerve, and the spinal accessory nerve (CN XI). There were various advantages and disadvantages of donor nerves sources. However, the use of ipsilateral donor nerve is said to have many benefits. In this report, we would like to present preliminary results of using the CN XI source in treatment of subacute and chronic VII nerve injury. These were the first two cases of successful surgery using this nerve source in Vietnam.

Keywords: Facial nerve injury, facial paralysis, nerve transfer, spinal accessory nerve.

Reference

1. Rubin LR. The Paralyzed face: Mosby Year Book; 1991.
2. Placheta E, Tinhofer I, Schmid M, Reissig LF, Pona I, Weninger W, et al. The spinal accessory nerve for functional muscle innervation in facial reanimation surgery: An anatomical and histomorphometric study. Annals of Plastic Surgery. 2016;77(6):640-4.
3. Hirsh L, Murtagh F. Spinofacial anastomosis. Acta neurochirurgica. 1978;40(3):285-97.
4. Chuang DC-C, Lu JC-Y, Anesti K. One-stage procedure using spinal accessory nerve (XI)–innervated free muscle for facial Paralysis reconstruction. Plastic and reconstructive surgery. 2013;132(1):117e-29e.
5. Wang W, Cai Y, Oranges CM, Kalbermatten DF, Schaefer DJ, Yang C, et al. Sternocleidomastoid muscle transfer for treatment of longstanding facial paralysis: long-term outcomes and complications. in vivo. 2022;36(1):501-9.
6. Chwei-Chin Chuang D, Chuieng-Yi Lu J, Chang N-J, G. Laurence V. Comparison of Functional Results After Cross-Face Nerve Graft-, Spinal Accessory Nerve-, and Masseter Nerve-Innervated Gracilis for Facial Paralysis Reconstruction: The Chang Gung Experience2018. 1 p.
7. Klebuc M, Shenaq SM, editors. Donor nerve selection in facial reanimation surgery. Seminars in plastic surgery; 2004: Copyright© 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA.
8. Bianchi AV, G. Pedrazzi, V. Poddi, S. Ferrari,, B. Brevi AF. Masseteric cooptation and crossfacial nerve grafting: Is it still applicable 22 months after the onset of facial palsy? Microsurgery. 2018;January 1-7.
9. Bui M-A, Goh R, Vu T-T. Dynamic Reanimation of Smile in Facial Paralysis With Gracilis Functioning Free Muscle Flap Innervated By Masseteric Nerve: The First Vietnamese Series. International Microsurgery Journal (IMJ). 2019.
10. Murphey AW, Clinkscales WB, Oyer SL. Masseteric Nerve Transfer for Facial Nerve Paralysis: A Systematic Review and Meta-analysis. JAMA facial plastic surgery. 2018;20(2):104-10.
11. Vila PM, Kallogjeri D, Yaeger LH, Chi JJ. Powering the gracilis for facial reanimation: a systematic review and meta-analysis of outcomes based on donor nerve. JAMA Otolaryngology–Head & Neck Surgery. 2020;146(5):429-36.
12. Esteban A, Prieto J. Unmasking of the trigemino-accessory reflex in accessory facial anastomosis. Journal of Neurology, Neurosurgery & Psychiatry. 1999;67(3):379-83.

Tóm tắt

Tổn thương thần kinh VII không hồi phục với các nguyên nhân khác nhau như sau chấn thương, sau phẫu thuật khối u, xạ trị…đều gây ra những di chứng về chức năng, thẩm mỹ và tâm lý cho người bệnh. Từ nhiều thập kỷ nay, các phẫu thuật viên vi phẫu tạo hình đã đưa ra nhiều nguồn thần kinh cho khác nhau nhằm khắc phục các di chứng trên như thần kinh VII đối bên, thần kinh XII, thần kinh cơ cắn, thần kinh XI. Các nguồn thần kinh cho đều có những ưu, nhược điểm khác nhau, tuy nhiên, việc sử dụng các nguồn thần kinh cùng bên được cho là có nhiều ưu điểm. Trong báo cáo này, chúng tôi muốn đưa ra kết quả bước đầu việc sử dụng nguồn thần kinh XI cùng bên điều trị tổn thương thần kinh VII bán cấp và mạn tính. Đây là 02 trường hợp thành công đầu tiên tại Việt Nam sử dụng nguồn thần kinh này.

Từ khóa: Tổn thương thần kinh VII, liệt mặt, chuyển thần kinh, thần kinh XI

Tài liệu tham khảo

1. Rubin LR. The Paralyzed face: Mosby Year Book; 1991.
2. Placheta E, Tinhofer I, Schmid M, Reissig LF, Pona I, Weninger W, et al. The spinal accessory nerve for functional muscle innervation in facial reanimation surgery: An anatomical and histomorphometric study. Annals of Plastic Surgery. 2016;77(6):640-4.
3. Hirsh L, Murtagh F. Spinofacial anastomosis. Acta neurochirurgica. 1978;40(3):285-97.
4. Chuang DC-C, Lu JC-Y, Anesti K. One-stage procedure using spinal accessory nerve (XI)–innervated free muscle for facial Paralysis reconstruction. Plastic and reconstructive surgery. 2013;132(1):117e-29e.
5. Wang W, Cai Y, Oranges CM, Kalbermatten DF, Schaefer DJ, Yang C, et al. Sternocleidomastoid muscle transfer for treatment of longstanding facial paralysis: long-term outcomes and complications. in vivo. 2022;36(1):501-9.
6. Chwei-Chin Chuang D, Chuieng-Yi Lu J, Chang N-J, G. Laurence V. Comparison of Functional Results After Cross-Face Nerve Graft-, Spinal Accessory Nerve-, and Masseter Nerve-Innervated Gracilis for Facial Paralysis Reconstruction: The Chang Gung Experience2018. 1 p.
7. Klebuc M, Shenaq SM, editors. Donor nerve selection in facial reanimation surgery. Seminars in plastic surgery; 2004: Copyright© 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA.
8. Bianchi AV, G. Pedrazzi, V. Poddi, S. Ferrari,, B. Brevi AF. Masseteric cooptation and crossfacial nerve grafting: Is it still applicable 22 months after the onset of facial palsy? Microsurgery. 2018;January 1-7.
9. Bui M-A, Goh R, Vu T-T. Dynamic Reanimation of Smile in Facial Paralysis With Gracilis Functioning Free Muscle Flap Innervated By Masseteric Nerve: The First Vietnamese Series. International Microsurgery Journal (IMJ). 2019.
10. Murphey AW, Clinkscales WB, Oyer SL. Masseteric Nerve Transfer for Facial Nerve Paralysis: A Systematic Review and Meta-analysis. JAMA facial plastic surgery. 2018;20(2):104-10.
11. Vila PM, Kallogjeri D, Yaeger LH, Chi JJ. Powering the gracilis for facial reanimation: a systematic review and meta-analysis of outcomes based on donor nerve. JAMA Otolaryngology–Head & Neck Surgery. 2020;146(5):429-36.
12. Esteban A, Prieto J. Unmasking of the trigemino-accessory reflex in accessory facial anastomosis. Journal of Neurology, Neurosurgery & Psychiatry. 1999;67(3):379-83.