Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (1): 37-42.doi: 10.6040/j.issn.1673-3770.0.2021.405

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Clinical analysis of facial nerve decompression via an external transmastoid-subtemporal labyrinth approach in eight children

DANG Panhong, ZHANG Rui, HU Chunyan, WANG Jie, FAN Mengyun   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Xi'an Children's Hospital, Xi'an 710002, Shaanxi, China
  • Online:2022-01-10 Published:2022-02-22

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Abstract: Objective To explore the curative effect of the external transmastoid-subtemporal labyrinth approach for facial nerve decompression in children with traumatic facial paralysis. Methods Eight cases of traumatic facial paralysis that were treated by facial nerve decompression with an external transmastoid-subtemporal labyrinth approach within 1 month between January 2014 and July 2019 were retrospectively analyzed. Some cases underwent ossicular chain reconstruction at the same time. Patients were followed up for 1 to 2 years, and the degree of hearing and facial nerve function(House-Brackmann, H-B)were assessed. Results There were seven cases of H-B grade V and one case of grade Ⅳ preoperatively, which reduced to five cases of grade I and three cases of grade Ⅱ postoperatively; Two cases had severe conductive hearing loss preoperatively, which returned to normal and mild postoperatively; One case had normal hearing preoperatively with no hearing loss postoperatively; The remaining five cases had severe or profound sensorineural hearing loss preoperatively. Conclusions Facial nerve function and hearing can be satisfactorily recovered by facial nerve decompression via an external transmastoid-subtemporal labyrinth approach within 1 month of temporal bone fracture.

Key words: Temporal bone fracture, Facial nerve paralysis, Decompression surgery, Children, Function of facial nerve

CLC Number: 

  • R764
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