Total Facial Nerve Decompression via Combined Middle Cranial Fossa and Transmastoid approach

CSurgeries ◽  
2020 ◽  
Author(s):  
Gavriel Kohlberg ◽  
Noga Lipschitz ◽  
Charlie Poff ◽  
Ravi Samy
Keyword(s):  
Facial Nerve ◽  
Middle Cranial Fossa ◽  
Nerve Decompression ◽  
Cranial Fossa ◽  
Facial Nerve Decompression ◽  
Transmastoid Approach

Outer Table Graft in Middle Fossa Surgery

1994 ◽  
Vol 111 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Christopher J. Linstrom ◽  
Marek J. Krajewski ◽  
Aaron L. Shapiro ◽  
Salvatore Caruana
Keyword(s):  
Surgical Technique ◽  
Facial Nerve ◽  
Middle Cranial Fossa ◽  
Middle Fossa ◽  
Nerve Decompression ◽  
Cranial Fossa ◽  
Middle Cranial Fossa Surgery ◽  
Facial Nerve Decompression ◽  
Outer Table

We describe a surgical technique in which the middle fossa craniotomy ordinarily used for facial nerve decompression and related surgery is extended superiorly to allow the harvest of a split-thickness calvarial graft. This graft allows the tegmen defect in middle fossa surgery to be repaired without shortening the original craniotomy plate. Avoiding the usual temporoparietal depression after middle cranial fossa surgery is both a structural and cosmetic benefit for the patient.

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>

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

Microsurgical Anatomy of the Perigeniculate Ganglion Area as Seen from a Translabyrinthine Approach

2000 ◽  
Vol 109 (3) ◽  
pp. 255-257 ◽  
Author(s):  
Ho-Ki Lee ◽  
Won-Sang Lee ◽  
Ek-Ho Lee ◽  
Won Sok Kim
Keyword(s):  
Facial Nerve ◽  
Middle Cranial Fossa ◽  
Surgical Anatomy ◽  
Point Of View ◽  
Microsurgical Anatomy ◽  
Translabyrinthine Approach ◽  
Precise Knowledge ◽  
Cranial Fossa ◽  
Temporal Bones ◽  
Facial Nerve Decompression

Detailed anatomic knowledge of the microsurgical anatomy of the perigeniculate ganglion area is essential to probing adjacent to the facial nerve by a translabyrinthine approach. This study was designed to investigate the surgical anatomy of the perigeniculate ganglion area of the facial nerve from a translabyrinthine point of view. We dissected 15 human temporal bones under a microscope, measured the lengths of the tympanic segment and the labyrinthine segment by a middle cranial fossa approach, and measured the angle between the tympanic and labyrinthine segments by a translabyrinthine approach. The distance of the facial nerve from the cochleariform process to the geniculate ganglion was 3.8 ± 0.7 mm. The length of the labyrinthine segment of the facial nerve was 4 ± 0.8 mm. The angle between the tympanic and labyrinthine segments from a translabyrinthine point of view was 26° ± 5°. Precise knowledge about the microsurgical anatomy of the perigeniculate ganglion area of the facial nerve from a translabyrinthine viewpoint is imperative for facial nerve decompression by a translabyrinthine approach.

Total Facial Nerve Decompression: Technique to Avoid Complications

1996 ◽  
Vol 75 (7) ◽  
pp. 410-415 ◽  
Author(s):  
Jack L. Pulec
Keyword(s):  
Herpes Zoster ◽  
Facial Nerve ◽  
External Auditory Canal ◽  
Hemifacial Spasm ◽  
Ossicular Chain ◽  
Middle Cranial Fossa ◽  
Temporal Bone Fracture ◽  
Valuable Treatment ◽  
Cranial Fossa ◽  
Facial Nerve Decompression

Exposure of the facial nerve from the brainstem to the parotid can be accomplished without injury to the nerve, tympanic membrane, external auditory canal, ossicular chain, inner ear or structures within the cerebello-pontine angle. The procedure has reliably provided good results for patients who have had the proper indications with facial paralysis from Bell's palsy, herpes zoster oticus, infection, hemifacial spasm, temporal bone fracture and tumors. The current technique for exposure through the mastoid, middle cranial fossa and retrolabyrinthine combined approaches are described. This technique, properly performed, is a valuable treatment for facial nerve lesions.

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