Hypoglossal-facial anastomosis is a common method of restoring and/or replacing lost facial nerve function. At the same time, there are works that compare functional disorders of the XII pair of cranial nerves that arise in patients with various types of hypoglossal-facial anastomosis, which, in turn, indicates the rather great importance of this problem, as well as the need for further research. There are several modifications of the hypoglossal-facial anastomosis, which differ significantly, including the effect on the function of the tongue muscles. An important instrumental method for studying the function of the hypoglossal nerve is electromyography, namely, the determination of the total evoked potentials of the tongue muscles. In order to study complications in the form of dysfunction of the tongue muscles due to hypoglossal-facial anastomosis, a comparative analysis of the data of the tongue electromyography in patients after performing these interventions was carried out. Materials and methods. The study included 55 patients with chronic suppurative otitis media, with tumors of the cerebello-pontine angle (acoustic and vestibular schwannomas, tumors of the jugular glomus) complicated by a lesion of the facial nerve. In the main group of patients (20 patients), the original technique of the modified hypoglossal-facial anastomosis was used to restore the facial nerve function. Patients (n=35) in the control group underwent a classic hypoglossal-facial anastomosis. Results. As can be seen from the above data, when comparing the tongue muscles contraction amplitude 3, 6 and 12 months after the formation of the hypoglossal-facial anastomosis, a statistically significant decrease in this indicator is observed on the side of performing the hypoglossal-facial anastomosis in comparison with the intact side at all stages of the study (p <0.05) (p <0.05) (p <0.01), respectively. When comparing the indicators of the total muscle response in patients after using the modified and classical methods of XII-VII anastomosis, there was a statistically significant increase in the compound muscle response of the tongue in the main group - by an average of 10.94% (p <0.05). Conclusion. Performing hypoglossal-facial anastomosis leads to gross dysfunction of the hypoglossal nerve on the side of the intervention, manifested in the form of a significant decrease in the amplitude of muscle contraction according to electromyography of the tongue. The use of the modified technique of XII-VII anastomosis provided the restoration of the total muscle potential of the tongue by 8.82% after 3 months, by 8.7% – after 6 months. and by 15.38% – after 12 months after surgery in comparison with the group where the classic hypoglossal-facial anastomosis was performed.