The Facial Nerve: How to Find It

1993 ◽  
Vol 72 (10) ◽  
pp. 677-685 ◽  
Author(s):  
Jack L. Pulec

Iatrogenic facial paralysis is one of the most serious and most dreaded complications of temporal bone surgery. The risk of this complication as well as the duration of surgery can be reduced if the otologic surgeon can promptly identify the facial nerve at any stage of an operation. This is especially important in cases of anatomic variation and pathology which obscures or distorts normal anatomy. Twelve different surgical techniques will be described which allow the surgeon to safely expose and identify the facial nerve throughout its course through the temporal bone at any stage of an operation.

Radiology ◽  
1989 ◽  
Vol 171 (3) ◽  
pp. 807-809 ◽  
Author(s):  
D L Daniels ◽  
L F Czervionke ◽  
S J Millen ◽  
T J Haberkamp ◽  
G A Meyer ◽  
...  

ORL ro ◽  
2016 ◽  
Vol 1 (1) ◽  
pp. 42-47
Author(s):  
Elena Anghel ◽  
Cătălina Ghiocel ◽  
Panaiota Dumitrache ◽  
Janina Becherescu ◽  
Alina Cristiana Anghel

The CSF leak is a severe and life threatening complication that can occur during surgery of the temporal bone for suppurative conditions of the ear. The authors make a short review of the favoring factors, means of diagnosis and treatment, both conserving and surgical used on the authors’ patients. We also present a case of CSF fistula caused by a rare condition, as well as the surgical technique used on this patient. 


2011 ◽  
Author(s):  
Eduard H. J. Voormolen ◽  
Marijn van Stralen ◽  
Peter A. Woerdeman ◽  
Josien P. W. Pluim ◽  
Herke J. Noordmans ◽  
...  

2019 ◽  
Vol 5 (1) ◽  
pp. 20180029
Author(s):  
Yaotse Elikplim Nordjoe ◽  
Ouidad Azdad ◽  
Mohamed Lahkim ◽  
Laila Jroundi ◽  
Fatima Zahrae Laamrani

Facial nerve aplasia is an extremely rare condition that is usually syndromic, namely, in Moebius syndrome. The occurrence of isolated agenesis of facial nerve is even rarer, with only few cases reported in the literature. We report a case of congenital facial paralysis due to facial nerve aplasia diagnosed on MRI, while no noticeable abnormality was detected on the temporal bone CT.


Author(s):  
Kiran Natarajan ◽  
Koka Madhav ◽  
A. V. Saraswathi ◽  
Mohan Kameswaran

<p>Bilateral temporal bone fractures are rare; accounting for 9% to 20% of cases of temporal bone fractures. Clinical manifestations include hearing loss, facial paralysis, CSF otorhinorrhea and dizziness. This is a case report of a patient who presented with bilateral temporal bone fractures. This is a report of a 23-yr-old male who sustained bilateral temporal bone fractures and presented 18 days later with complaints of watery discharge from left ear and nose, bilateral profound hearing loss and facial weakness on the right side. Pure tone audiometry revealed bilateral profound sensori-neural hearing loss. CT temporal bones &amp; MRI scans of brain were done to assess the extent of injuries. The patient underwent left CSF otorrhea repair, as the CSF leak was active and not responding to conservative management. One week later, the patient underwent right facial nerve decompression. The patient could not afford a cochlear implant (CI) in the right ear at the same sitting, however, implantation was advised as soon as possible because of the risk of cochlear ossification. The transcochlear approach was used to seal the CSF leak from the oval and round windows on the left side. The facial nerve was decompressed on the right side. The House-Brackmann grade improved from Grade V to grade III at last follow-up. Patients with bilateral temporal bone fractures require prompt assessment and management to decrease the risk of complications such as meningitis, permanent facial paralysis or hearing loss. </p>


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