The outcome of facial nerve decompression via transmastoid approach in facial palsy secondary to the temporal bone fracture

Raja Lope Ahmad, Raja Ahmad Al'konee and Wan Leman, Wan Ishlah and Abdullah, Kahairi and Md Ralib @ Md Raghib, Ahmad Razali and Kamarudin, Norie Azilah (2007) The outcome of facial nerve decompression via transmastoid approach in facial palsy secondary to the temporal bone fracture. In: American Academy of Otolaryngology – Head & Neck Surgery Foundation Meeting, September 16th – 19th, 2007, Washington DC, U.S.A..

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Abstract

OBJECTIVES: The aim of this study is to analyze the outcome of surgical management in traumatic facial paralysis secondary to temporal bone fracture. STUDY DESIGN AND METHODS: Prospective review was done in eleven patients with House-Brackmann’s grading more than IV. The facial nerves were decompressed via transmastoid approach. High-resolution computer tomography scan (HRCT), intra-operative findings and the functional recovery were analyzed. RESULTS: In all cases HRCT and intra-operative findings showed the fracture lines involved peri-geniculate area. In some cases, the fractures proceed antero-medially towards the facial hiatus and this can be approached via the supra-labyrinthine drilling with removal of the incus. Five patients experienced normal or near-normal recovery (HB grade I-II). Six patients recovered to HB grade III. CONCLUSION: The important deciding factors for facial nerve decompression are pre-operative HB grading more than IV, and HRCT revealed fracture line in the peri-geniculate area. Transmastoid facial nerve decompression is adequate to achieve favorable functional outcome.

Item Type:	Conference or Workshop Item (Speech/Talk)
Additional Information:	3641/16991
Subjects:	R Medicine > RF Otorhinolaryngology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Otolaryngology - Head and Neck Surgery Kulliyyah of Medicine > Department of Radiology
Depositing User:	Dr Raja Ahmad Al'Konee Raja Lope Ahmad
Date Deposited:	04 Apr 2012 10:08
Last Modified:	23 May 2012 09:28
URI:	http://irep.iium.edu.my/id/eprint/16991

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