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."

1 May M , Schaitkin BM . History of facial nerve surgery[J]. Facial Plast Surg, 2000, 16 (4): 301- 307.
doi: 10.1055/s-2000-15543
2 Johnson F , Semaan MT , Megerian CA . Temporal bone fracture: evaluation and management in the modern era[J]. Otolaryngol Clin North Am, 2008, 41 (3): 597- 618, x.
doi: 10.1016/j.otc.2008.01.006
3 韩维举, 王萌萌. 外伤性周围性面瘫的诊断及手术治疗[J]. 中华耳科学杂志, 2013, 11 (3): 392- 396.
doi: 10.3969/j.issn.1672-2922.2013.03.013
4 Melvin TA , Limb CJ . Overview of facial paralysis: current concepts[J]. Facial Plast Surg, 2008, 24 (2): 155- 163.
doi: 10.1055/s-2008-1075830
5 Rotondo M , D'Avanzo R , Natale M , et al. Post-traumatic peripheral facial nerve palsy: surgical and neuroradiological consideration in five cases of delayed onset[J]. Acta Neurochir (Wien), 2010, 152 (10): 1705- 1709.
doi: 10.1007/s00701-010-0747-x
6 Hato N , Nota J , Hakuba N , et al. Facial nerve decompression surgery in patients with temporal bone trauma: analysis of 66 cases[J]. J Trauma, 2011, 71 (6): 1789- 1792.
doi: 10.1097/TA.0b013e318236b21f
7 Abbaszadeh-Kasbi A , Kouhi A , Ashtiani MTK , et al. Conservative versus surgical therapy in managing patients with facial nerve palsy due to the temporal bone fracture[J]. Craniomaxillofac Trauma Reconstr, 2019, 12 (1): 20- 26.
doi: 10.1055/s-0038-1625966
8 唐朝颖, 韩维举, 张纪帅, 等. 面神经减压术治疗颞骨外伤性面瘫临床分析[J]. 中华耳科学杂志, 2016, 14 (2): 176- 180.
doi: 10.3969/j.issn.1672-2922.2016.02.010
TANG Chaoying , HAN Weiju , ZHANG Jishuai , et al. Facial never decompression via mastoid-epitympanum approach in patients with traumatic facial paralysis[J]. Chinese Journal of Otology, 2016, 14 (2): 176- 180.
doi: 10.3969/j.issn.1672-2922.2016.02.010
9 Ulug T , Arif Ulubil S . Management of facial paralysis in temporal bone fractures: a prospective study analyzing 11 operated fractures[J]. Am J Otolaryngol, 2005, 26 (4): 230- 238.
doi: 10.1016/j.amjoto.2005.01.004
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