Endoscopic transcanal facial nerve decompression in Bell's palsy: A pilot study

2021 ◽  
pp. 103167
Author(s):  
Zhili Wang ◽  
Yongchuan Chai ◽  
Zhe Chen ◽  
Zhaoyan Wang ◽  
Hao Wu
Keyword(s):  
Pilot Study ◽  
Facial Nerve ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Nerve Decompression ◽  
Facial Nerve Decompression

FACIAL PARALYSIS IN CHILDREN

PEDIATRICS ◽  
1972 ◽  
Vol 49 (1) ◽  
pp. 102-109
Author(s):  
John J. Manning ◽  
Kedar K. Adour
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Age Groups ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Specific Therapy ◽  
Nerve Decompression ◽  
Facial Nerve Decompression

In any instance of facial paralysis in a child, an effort should be made to determine immediately whether it is caused by a specific, treatable entity. Of 61 cases of facial paralysis in children seen in a Facial Paralysis Clinic, 38% were not Bell's palsy. Eight of the 61 children had disease amenable to specific therapy available today. Experience with 504 patients of all age groups seen within 4 years has led the authors to abandon facial nerve decompression in the treatment of Bell's palsy.

Decompression of the Facial Nerve in Bell's Palsy: A Historical Review

1982 ◽  
Vol 90 (4) ◽  
pp. 453-460 ◽  
Author(s):  
Kedar K. Adour ◽  
Charles Diamond
Keyword(s):  
Surgical Treatment ◽  
Facial Nerve ◽  
Surgical Intervention ◽  
50Th Anniversary ◽  
Historical Review ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Nerve Decompression ◽  
The Difference ◽  
Facial Nerve Decompression

This year, 1981, is the 50th anniversary of facial nerve decompression for Bell's palsy. The procedure was first suggested in 1923 but not performed until 1931. From the start, facial nerve decompression has generated disagreement regarding the indication and timing for surgical treatment and the anatomic extent of decompression. In each decade as the postonset time within which to perform surgical intervention has decreased, the anatomic extent of decompression has increased. Otologists continue to disagree, and we need to reevaluate our past and analyze how the difference may be resolved in the future. This critical review, in chronologic order, of the history and present status of facial nerve decompression is the necessary first step in resolving some of the persistent problems in surgical management of patients with Bell's palsy.

Delayed facial nerve decompression for Bell’s palsy

2015 ◽  
Vol 273 (7) ◽  
pp. 1755-1760 ◽  
Author(s):  
Sang Hoon Kim ◽  
Junyang Jung ◽  
Jong Ha Lee ◽  
Jae Yong Byun ◽  
Moon Suh Park ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Nerve Decompression ◽  
Facial Nerve Decompression

Total Facial Nerve Decompression for Recurrent Facial Paralysis: An Update

1989 ◽  
Vol 101 (4) ◽  
pp. 442-444 ◽  
Author(s):  
Malcolm D. Graham ◽  
Jack M. Kartush
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Bell’S Palsy ◽  
Rare Disorder ◽  
Bell's Palsy ◽  
Nerve Decompression ◽  
The Past ◽  
Salutary Effect ◽  
Facial Edema ◽  
Facial Nerve Decompression

Recurrent facial paralysis (RFP) is a rare disorder that in some individuals may lead to worsening sequelae. Melkersson-Rosenthal syndrome is a variant of RFP that is associated with recurrent facial edema. In the past, decompression of the mastoid segment of the facial nerve has not been successful in preventing recurrences. In 1981 we began performing total facial nerve decompression for RFP and in 1986 reported its efficacy in one patient with Melkersson-Rosenthal syndrome and in another in whom both nerves were decompressed for alternating bilateral paralysis. An additional four cases with 3 to 8 years of followup demonstrate no recurrences in any patient. Total facial nerve decompression for RFP in selected patients appears efficacious in preventing recurrences. Decompression will remain investigational until further followup is obtained. Furthermore, its salutary effect should not be extrapolated to Bell's palsy without further Study.

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