Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (1): 25-27.doi: 10.6040/j.issn.1673-3770.1.2019.052

• Clinical Report • Previous Articles     Next Articles

Transmastoid facial nerve decompression for treating traumatic facial paralysis involving the geniculate ganglia

Jia XU,Xin LI,Wenjing CHEN,Juanjuan GAO,Haijin YI*()   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China
  • Received:2019-08-27 Online:2020-01-20 Published:2020-03-06
  • Contact: Haijin YI E-mail:dl7599@163.com

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Abstract: Objective

To explore the clinical effects of geniculate ganglion decompression of the facial nerve using the transmastoid-epitympanum approach in patients with traumatic facial nerve paralysis.

Methods

A retrospective analysis of 30 traumatic facial nerve paralysis cases was conducted. Facial nerve function and hearing levels were compared.

Results

All patients had improved facial function after surgery, of which 26 cases recovered to HB Ⅰ or Ⅱ level. The adverse effects on their auditory function were less than 10 dB in most cases.

Conclusion

The transmastoid-epitympanum approach to the decompression of the geniculate ganglion is simple, minimally invasive, safe, and effective, which results in little postoperative hearing change.

Key words: Traumatic facial paralysis, Geniculate ganglia, Management

CLC Number: 

  • R764.4

Fig.1

CT image of traumatic facial paralysis involving the geniculate ganglia A: Axial CT showing the fracture line through the geniculate ganglion; B: Coronary CT showing the fracture line through the geniculate ganglion; C: Axial CT showing the fracture line through the ossicular chain; D: Coronary CT showing the fracture line through the ossicular chain."

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