Transvestibular Approach to the Internal Auditory Canal

A surgical approach to the internal auditory canal is presented which has proved useful in the following circumstances: 1) as a destructive procedure in Ménière's disease, 2) as a diagnostic procedure in patients in whom an acoustic neurinoma is suspected and a labyrinthectomy is indicated. In this situation the tumor may be removed during the same operative procedure, 3) for the removal of small, mobile, intracanalicular neurinomas, and 4) for complete facial nerve decompression in patients with no vestibular response and no serviceable hearing.

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Meningocele of the Internal Auditory Canal Requiring Facial-Nerve Decompression

Biomedicine Hub ◽

10.1159/000507420 ◽

2020 ◽

Vol 5 (2) ◽

pp. 1-6

Author(s):

Jeffrey Liaw ◽

Huseyin Isildak

Keyword(s):

Facial Nerve ◽

Facial Palsy ◽

Cystic Lesion ◽

Fibrous Tissue ◽

Internal Auditory Canal ◽

Petrous Apex ◽

First Episode ◽

Profound Hearing Loss ◽

Nerve Decompression ◽

Facial Nerve Decompression

In this case report, we present the case of a 14-month-old boy with a history of left facial palsy which developed at a very young age. CT of the temporal bone revealed a cystic lesion of the left petrous apex, and sedated auditory testing revealed a profound hearing loss on the same side. Following his first episode of left facial palsy, his symptoms nearly fully resolved and he was lost to follow-up. However, he was seen 5 months later due to recurrent and sudden left-sided facial paralysis. MRI was performed due to suspicion of an epidermoid cyst. The patient was subsequently taken to the operating room for facial-nerve decompression. Intraoperatively, no obvious cystic lesion was identified. Tissue biopsied from the internal auditory canal demonstrated benign glial tissue and fibrous tissue consistent with a meningocele.

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Acute Otitis Media and Facial Paralysis in Children

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949610500110 ◽

1996 ◽

Vol 105 (1) ◽

pp. 58-62 ◽

Cited By ~ 36

Author(s):

Clark A. Elliott ◽

George H. Zalzal ◽

Wendy R. Gottlieb

Keyword(s):

Facial Nerve ◽

Otitis Media ◽

Facial Paralysis ◽

Acute Otitis Media ◽

Complete Recovery ◽

Rapid Improvement ◽

Nerve Decompression ◽

Complete Paralysis ◽

Prolonged Recovery ◽

Facial Nerve Decompression

We reviewed 10 children who presented with facial paralysis after the onset of acute otitis media. The objective of the study was to examine the outcome of facial paralysis in children with acute otitis media treated without facial nerve decompression. Two groups were identified: 8 patients with incomplete paralysis and 2 with complete paralysis. Seven of the 8 patients with incomplete paralysis had rapid return of function after myringotomy and intravenous antibiotics. The eighth patient had delayed recovery requiring 9 months before complete return of function. The 2 patients with complete paralysis required mastoidectomy to control otorrhea and fever after initial myringotomy and antibiotics. Both patients had a prolonged recovery requiring 3 and 7 months for complete recovery. Patients with incomplete paralysis generally show rapid improvement following wide myringotomy and antibiotic treatment. A more protracted recovery may be expected in patients with complete paralysis; excellent return of function is expected when mastoidectomy without facial nerve decompression is employed.

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The effect of total facial nerve decompression in preventing further recurrence of idiopathic recurrent facial palsy

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-014-2891-z ◽

2014 ◽

Vol 272 (5) ◽

pp. 1087-1090 ◽

Cited By ~ 8

Author(s):

Yang Li ◽

Zhi Li ◽

Cheng Yan ◽

Liu Hui

Keyword(s):

Facial Nerve ◽

Facial Palsy ◽

Nerve Decompression ◽

Facial Nerve Decompression

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Facial Nerve Decompression: Causes of Failure (Four Case Reports)

Archives of Otolaryngology - Head and Neck Surgery ◽

10.1001/archotol.1972.00770080631001 ◽

1972 ◽

Vol 95 (5) ◽

pp. 395-399 ◽

Cited By ~ 1

Author(s):

J. A. Crabtree

Keyword(s):

Facial Nerve ◽

Case Reports ◽

Nerve Decompression ◽

Facial Nerve Decompression ◽

Causes Of Failure

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Suboccipital Surgical Approach to the Cerebellopontine Angle and Internal Auditory Canal

Journal of the Royal Society of Medicine ◽

10.1177/014107687807100410 ◽

1978 ◽

Vol 71 (4) ◽

pp. 273-274 ◽

Cited By ~ 1

Author(s):

Mansfield F W Smith

Keyword(s):

Facial Nerve ◽

Brain Stem ◽

Prone Position ◽

Surgical Approach ◽

Cerebellopontine Angle ◽

Internal Auditory Canal ◽

Total Removal ◽

Size And Shape ◽

Suboccipital Craniectomy ◽

The Brain

The suboccipital craniectomy done with the patient in the prone position using modern microsurgical methods gives good anatomical exposure essential for efficient, accurate, total removal of cerebellopontine angle neoplasms and allows adjacent. uninvolved neurological structures to be spared. Modifying the anatomical exposure by varying the size and shape of the osseous craniectomy and placing the dural incision closer to the porus acousticus permits extradural retraction of the cerebellum. Thus large cerebellopontine angle neoplasms can be excised with less chance of damage to the cerebellum and smaller risk of hydrocephalus. The suboccipital craniectomy may be extended anteriorly to the facial nerve, thereby combining the suboccipital with the translabyrinthine approach. and providing a more direct angle to a large neoplasm involving the brain stem and cerebellum.

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