Surgical Facial Nerve Decompression for Peripheral Facial Paralysis of Diverse Causes

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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FACIAL NERVE DECOMPRESSION VIA COMBINED TRANSMASTOID AND TRANS MIDDLE CRANIAL FOSSA ROUTES FOR TRAUMATIC TOTAL FACIAL PARALYSIS

Middle Ear Mechanics in Research and Otology ◽

10.1142/9789812703019_0043 ◽

2004 ◽

Author(s):

EIJI YUMOTO ◽

MASAKO MASUDA ◽

YOSHIHIKO KUMAI ◽

MOTOHIRO MORIOKA

Keyword(s):

Facial Nerve ◽

Facial Paralysis ◽

Middle Cranial Fossa ◽

Nerve Decompression ◽

Cranial Fossa ◽

Facial Nerve Decompression

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FACIAL PARALYSIS IN CHILDREN

PEDIATRICS ◽

10.1542/peds.49.1.102 ◽

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.

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Evaluation of Patients Treated by Facial Nerve Decompression via Transmastoid Approach for Traumatic Facial Paralysis

Otolaryngology ◽

10.1177/0194599813496044a252 ◽

2013 ◽

Vol 149 (2_suppl) ◽

pp. P225-P225

Author(s):

Ju Hyoung Lee ◽

Joo Hyun Jung ◽

Chang-Hyun Cho ◽

Bokyung Kwak ◽

Youn Hee Ju

Keyword(s):

Facial Nerve ◽

Facial Paralysis ◽

Nerve Decompression ◽

Facial Nerve Decompression ◽

Transmastoid Approach

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Total Facial Nerve Decompression for Recurrent Facial Paralysis: An Update

Otolaryngology ◽

10.1177/019459988910100406 ◽

1989 ◽

Vol 101 (4) ◽

pp. 442-444 ◽

Cited By ~ 26

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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