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

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

Acute Otitis Media and Facial Paralysis in Children

1996 ◽  
Vol 105 (1) ◽  
pp. 58-62 ◽  
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.

scholarly journals Case study on patient with CSOM with intracranial and intratemporal complications managed with craniotomy and facial nerve decompression

2019 ◽  
Vol 5 (4) ◽  
pp. 1083
Author(s):  
Sumit Prinja ◽  
Jai Lal Davessar ◽  
Gurbax Singh ◽  
Harinder Singh ◽  
Vatika Khurana ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Social Life ◽  
Intracranial Abscess ◽  
Nerve Decompression ◽  
Middle Ear Cholesteatoma ◽  
Life Threatening ◽  
Access To Medical Care ◽  
Facial Nerve Decompression ◽  
Transmastoid Approach

<p class="abstract">Facial nerve palsy, together with the intracranial abscess and labyrinthitis is a representative complication of advanced middle ear cholesteatoma. It is rare now a day due to ready access to medical care and antibiotics. Facial palsy is not life threatening but impairs facial movement and markedly affects patient’s social life and causes serious psychological damage. Appropriate management of this complication is necessary to ensure healing without sequelae. We present a case of CSOM with intracranial and intratemporal complications. The patient had undergone craniotomy for intracranial abscess drainage and underwent facial nerve decompression by transmastoid approach.</p>

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.

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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