Surgical management of facial paralysis resulting from temporal bone fractures
作者
Liu, YQ;Han, J;Zhou, XC;Gao, K;Luan, DH;Xie, FY;Wang, XT;Zong, GX;Ding, L
作者单位
[Liu, Yiqing; Han, Jie; Zhou, Xuanchen; Gao, Kun; Luan, Deheng; Xie, Fengyang; Wang, Xiaoting; Zong, Guangxin; Ding, Ling] Shandong Univ, Shandong Prov Hosp, Dept Otorhinolaryngol Head & Neck Surg, Jinan 250021, Peoples R China.
摘要
Conclusion: To achieve good facial reanimation in cases with facial paralysis resulting from temporal bone fractures, the ideal timing for surgical intervention is at least within 1 month of injury and an appropriate surgical approach should be selected depending on the site of facial nerve injury. Objective: This paper aimed to address the ideal time for surgical intervention and the appropriate surgical approach for patients with facial paralysis resulting from temporal bone fractures. Methods: We retrospectively investigated 60 patients with facial paralysis due to temporal bone fractures who underwent facial nerve decompression via different operative approaches within 1 month after trauma, of which 48 were surgically treated by the middle cranial fossa approach (80%), 8 by a pure transmastoid approach (13.3%), and four by a combined transmastoid and middle cranial fossa approach (6.7%). The House-Brackmann (H-B) grading system was used to evaluate the recovery of facial nerve function. Results: The follow-up period for all the patients was 1 year. Among 60 patients who were surgically treated, 39 achieved grade I of facial nerve function, 18 achieved grade II, two achieved grade III, and one achieved grade IV according to the H-B grading system.
关键词
DECOMPRESSION SURGERY; NERVE PARALYSIS; OUTCOMES; PALSY
基本信息
