scholarly journals Segmental Facial Nerve Decompression in Patients of Chronic Suppurative Otitis Media with Diabetes Mellitus

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Shradha Karkamkar

Introduction: Facial nerve decompression is opening the bony canal and nerve sheath to release pressure and reduce compression on nerve fibers. The goal of decompression is to improve blood circulation and minimize damage to distal nerve fibers. Methodology: We present study of 20 patients who came to ENT OPD, From June, 2017 –March, 2020 presented to us with non-traumatic facial palsy grade III and above; in whom we did facial nerve decompression via trans-mastoid approach. Conclusion: Segmental decompression of facial nerve with masoidectomy provides better results than mastoidectomy alone because it enables expansion of nerve, reduces post-operative oedema and less need for steroid administration in diabetic patients with better clinical outcome.

1996 ◽  
Vol 105 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Clark A. Elliott ◽  
George H. Zalzal ◽  
Wendy R. Gottlieb

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.


1963 ◽  
Vol 77 (6) ◽  
pp. 41
Author(s):  
Maurice Schiff ◽  
Martin Magi ◽  
Allan M. Warner

2019 ◽  
Vol 10 ◽  
Author(s):  
Vijayendra Honnurappa ◽  
Vinay Kumar Vijayendra ◽  
Nilesh Mahajan ◽  
Miriam Redleaf

2013 ◽  
Vol 2013 (aug20 1) ◽  
pp. bcr2013200188-bcr2013200188
Author(s):  
J. S. Thakur ◽  
V. Shekar ◽  
M. Saluja ◽  
N. K. Mohindroo

2014 ◽  
Vol 134 (4) ◽  
pp. 425-428 ◽  
Author(s):  
Chuanfu Dai ◽  
Jiandong Li ◽  
Shiming Yang ◽  
Liang Zhao ◽  
Shui Feng ◽  
...  

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