Outcomes and Prognosis of Patients Treated by Facial Nerve Decompression via Transmastoid Approach for Traumatic Facial Paralysis.
10.3342/kjorl-hns.2013.56.2.79
- Author:
Byoung Seo JEONG
1
;
Youn Hee JU
;
Ho Cherl YANG
;
Bo Gyoung KWACK
;
Ju Young PAIK
;
Ju Hyoung LEE
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Gachon University of Medicine & Science, Graduate School of Medicine, Gil Medical Center, Incheon, Korea. febent@gilhospital.com
- Publication Type:Original Article
- Keywords:
Decompression;
Facial paralysis;
Temporal bone;
Trauma
- MeSH:
Decompression;
Early Diagnosis;
Facial Nerve;
Facial Paralysis;
Humans;
Prognosis;
Retrospective Studies;
Temporal Bone
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2013;56(2):79-83
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: The aim of this study is to evaluate the outcomes and prognosis of traumatic facial paralysis in patients treated with facial nerve decompression via transmastoid approach. SUBJECTS AND METHOD: The authors retrospectively reviewed 20 patients who suffered from temporal bone fractures resulting in facial paralysis and received surgical facial nerve decompression treatment via transmastoid approach from 2004 to 2012. RESULTS: In 14 patients, the House-Brackmann grade improved to 1, 2, or 3. The preoperative average House-Brackmann grade of 4.95 improved from 4.95 to the postoperative average House-Brackmann grade of 3.15. Statistically significant improvements were found in all groups whether the operation was performed within two weeks, or from two weeks to four weeks, or after four weeks. CONCLUSION: Postoperative results of facial nerve decompression in traumatic temporal bone fracture can be excellent. Surgeons can expect better outcomes with early diagnosis and lesser nerve damage.
