{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T01:20:48Z","timestamp":1772241648990,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2013,5,13]],"date-time":"2013-05-13T00:00:00Z","timestamp":1368403200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>The hypoglossal\u2010facial\u2010anastomosis is the most often applied procedure for the reanimation of a long lasting peripheral facial nerve paralysis. The use of an interposition graft and its end\u2010to\u2010side anastomosis to the hypoglossal nerve allows the preservation of the tongue function and also requires two anastomosis sites and a free second donor nerve. We describe the modified technique of the hypoglossal\u2010facial\u2010jump\u2010anastomosis without an interposition and present the first results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective case study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed the facial nerve reconstruction in five patients. The indication for the surgery was a long\u2010standing facial paralysis with preserved portion distal to geniculate ganglion, absent voluntary activity in the needle facial electromyography, and an intact bilateral hypoglossal nerve. Following mastoidectomy, the facial nerve was mobilized in the fallopian canal down to its bifurcation in the parotid gland and cut in its tympanic portion distal to the lesion. Then, a tensionless end\u2010to\u2010side suture to the hypoglossal nerve was performed. The facial function was monitored up to 16 months postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The reconstruction technique succeeded in all patients: The facial function improved within the average time period of 10 months to the House\u2010Brackmann score 3.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This modified technique of the hypoglossal\u2010facial reanimation is a valid method with good clinical results, especially in cases of a preserved intramastoidal facial nerve.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level 4.<jats:italic>Laryngoscope<\/jats:italic>, 123:2392\u20132396, 2013<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.24115","type":"journal-article","created":{"date-parts":[[2013,5,13]],"date-time":"2013-05-13T16:11:03Z","timestamp":1368461463000},"page":"2392-2396","source":"Crossref","is-referenced-by-count":20,"title":["Hypoglossal\u2010facial\u2010jump\u2010anastomosis without an interposition nerve graft"],"prefix":"10.1002","volume":"123","author":[{"given":"Dirk","family":"Beutner","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University of Cologne Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan C.","family":"Luers","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University of Cologne Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Grosheva","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery 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