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

Previous Articles     Next Articles

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

PDF (PC)

237

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
[1] Kahn JB, Stewart MG, Diaz-Marchan PJ. Acute temporal bone trauma: utility of high-resolution computed tomography[J]. Am J Otol, 2000, 21(5): 743-752. doi: 10.1053/ajot.2000.16171.
[2] Odebode TO, Ologe FE. Facial nerve palsy after head injury: Case incidence, causes, clinical profile and outcome[J]. J Trauma, 2006, 61(2): 388-391. doi:10.1097/01.ta.0000224140.26660.5c.
[3] 葛贤锡.耳显微外科[M].上海:上海科技出版社.1985:303-351.
[4] 贾振华,杨晓楠,祁佐良. 面瘫继发眼睑闭合不全的整形修复[J]. 中华医学美学美容杂志, 2017, 23(2): 142-144. doi: 10.3760/cma.j.issn.1671-0290.2017.02.022.
[5] Little SC, Kesser BW. Radiographic classification of temporal bone fractures: clinical predictability using a new system[J]. Arch Otolaryngol Head Neck Surg, 2006, 132(12): 1300-1304. doi:10.1001/archotol.132.12.1300.
[6] 赵芸芸, 高燕军, 董季平, 等. MR增强扫描及曲面重建在面神经炎中的应用[J]. 中国介入影像与治疗学, 2017,14(12): 752-756. doi:10.13929/j.1672-8475.201709004. ZHAO Yunyun, GAO Yanjun, DONG Jiping, et al. Application of contrast-enhanced MRI and curved planar reformation in facial neuritis[J]. Chin J Interv Imaging Ther, 2017,14(12): 752-756. doi:10.13929/j.1672-8475.201709004.
[7] 赵芸芸, 宁文德, 董季平, 等. HRCT和增强MRI诊断面神经损伤[J]. 中国介入影像与治疗学, 2018,15(4): 230-233. doi:10.13929/j.1672-8475.201711004. ZHAO Yunyun, NING Wende, DONG Jiping, et al. HRCT and contrast-enhanced MRI in diagnosis of facial nerve injuries[J]. Chin J Interv Imaging Ther, 2018,15(4): 230-233. doi:10.13929/j.1672-8475.201711004.
[8] Coker NJ, Kendall KA, Jenkins HA, et al. Traumatic infratemporal facial nerve injury: management rationale for preservation of function[J]. Otolaryngol Head Neck Surg, 1987, 97(3): 262-269. doi:10.1177/019459988709700303.
[9] Chang CY, Cass SP. Management of facial nerve injury due to temporal bone trauma[J]. Am J Otol, 1999, 20(1): 96-114. PMID: 9918183.
[10] 钟运,张帅,贺楚峰,等. 18例颞骨骨折导致的周围性面瘫的临床分析[J]. 中华耳科学杂志, 2020,18(4): 698-702. doi: 10.3969/j.issn.1672-2922.2020.04.016. ZHONG Yun, ZHANG Shuai, HE Chufeng, et al. Clinical analysis of 18 cases of peripheral facial paralysis caused by temporal bone fracture[J]. Chin J Otol, 2020, 18(4): 698-702. doi: 10.3969/j.issn.1672-2922.2020.04.016.
[11] 杨淑娟. 颞骨外伤性面神经麻痹的动物试验及临床研究[D]. 济南: 山东大学, 2005.
[12] ??塁ahin C, Özen Ö. Bilateral post-traumatic facial paralysis that contains longitudinal and transverse temporal fracture[J]. J Craniofac Surg, 2018, 29(5): 1305-1306. doi:10.1097/scs.0000000000004569.
[13] 罗建芬, 樊兆民, 王海波. 颞骨骨折性面瘫手术减压时机的实验研究[J]. 山东大学耳鼻喉眼学报, 2008, 22(1): 85-87. LUO Jianfen, FAN Zhaomin, WANG Haibo. Surgical opportunities on facial nerve decompression following intra-temporal facial nerve injury: an experimental study[J]. J Otolaryngol Ophthalmol Shandong Univ, 2008, 22(1): 85-87.
[14] 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.
[15] 韩杰,韩乃刚,王海波, 等. 颞骨骨折性面神经瘫痪的手术治疗[J]. 中华创伤杂志, 2006,(2):118-120. doi: 10.3760/j:issn:1001-8050.2006.02.010. HAN Jie, HAN Naigang, WANG Haibo, et al. Surgical treatment of facial paralysis resulted from temporal bone fractures[J]. Chin J Trauma, 2006,(2):118-120. doi: 10.3760/j:issn:1001-8050.2006.02.010.
[16] Xu P, Jin A, Dai B, et al. Surgical timing for facial paralysis after temporal bone trauma[J]. Am J Otolaryngol, 2017, 38(3): 269-271. doi:10.1016/j.amjoto.2017.01.002.
[17] Sanuş GZ, Tanriöver N, Tanriverdi T, et al. Late decompression in patients with acute facial nerve paralysis after temporal bone fracture[J]. Turkish Neurosurgery, 2007, 17(1):7-12. doi: doi:10.1016/j.surneu.2006.11.032.
[18] 蒋立新,马玉坤,罗冬,等. 颞下-迷路上隐窝进路膝状神经节减压术治疗颞骨骨折面瘫[J]. 中华耳科学杂志, 2008, 6(3): 260-264. doi: 10.3969/j.issn.1672-2922.2008.03.003. JIANG Lixin, MA Yukun, LUO Dong, et al. Subtemporal—supralabyrinthine approach to geniculate ganglion for management of facial paralysis in temporal bone fracture[J]. Chin J Otol, 2008, 6(3): 260-264. doi: 10.3969/j.issn.1672-2922.2008.03.003.
[19] 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.
[20] May M. Total facial nerve exploration: transmastoid, extralabyrinthine, and subtemporal indications and results[J]. Laryngoscope, 1979, 89(6 pt 1): 906-917. doi:10.1288/00005537-197906000-00006.
[21] 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.
[22] Diaz RC, Cervenka B, Brodie HA. Treatment of temporal bone fractures[J]. J Neurol Surg B Skull Base, 2016, 77(5): 419-429. doi:10.1055/s-0036-1584197.
[1] YANG Yang, WANG Xiaoxu, ZHANG Jie. Progress on diagnosis and treatment of middle ear cholesteatoma in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 1-6.
[2] GAO Xinzhong, LING Zongtong, SHEN Ling, LIU Pingfang, LIN Xin, XU Yangyang. Analysis of the efficacy of balloon eustachian tuboplasty combined with adenoidectomy in the treatment of otitis media with effusion in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 7-12.
[3] MA Ning, CHEN Min, LIU Wei, YANG Yang, SHAO Jianbo, HAO Jinsheng, LIU Bing, ZHANG Xiao, DUAN Xiaomin, ZHANG Qifeng, ZHANG Jie. Clinical characteristics and management of pediatric temporal bone fractures [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 13-19.
[4] HU Chunyan, DANG Panhong, ZHANG Rui, FAN Mengyun. Analysis of audiological and imaging characteristics of 149 children with unilateral sensorineural hearing loss [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 31-36.
[5] LIU Shanshan, HAN Shujing, WANG Xiaoxu, LI Yanhong, NI Xin, ZHANG Jie. Hearing loss in children after bacterial meningitis: a systematic review and meta-analysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 48-54.
[6] JIAO Xuemei, YANG Yang, LI Chunfeng, ZHANG Xiaolin. Effect of tympanic membrane insertion on the function of eustachian tube in children with secretory otitis media [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 60-63.
[7] WANG Pengpeng, GE Wentong, TANG Lixing, YANG Xiaojian, ZHANG Wei, XIAO Xiao, HAN Yang. Four cases of open rhinoplasty approach for congenital nasal dermoid and sinus cysts in children and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 64-69.
[8] LI Menghui, ZHI Lili, QI Kaiwen, WANG Shanshan, GAO Qian, BU Meiling,. Clinical research of subcutaneous immunotherapy on children with allergic asthma caused by dust mites and combined with mold allergen [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 75-80.
[9] CHEN Kun, LU Hui, HUANG Qi, LI Lei, MENG Guozhen, YANG Jun, HOU Dongming. Clinical diagnosis and treatment of congenital nasal sinus mass in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 81-85.
[10] SHI Xiaoli, MU Hong. Multidisciplinary diagnosis and treatment of a child with severe obstructive sleep apnea syndrome complicated by pulmonary hypertension [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 116-119.
[11] ZHAO Xinghe, FAN Mingyue, DOU Xunwu, JIA Guangbiao. Primary large B-cell lymphoma of tonsil in children: a case report and document review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 120-124.
[12] YUAN Chenyang, LIU YanOverview, FANG ZhenshengGuidance. Advances on the effect of OSAHS on pulmonary function in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 143-148.
[13] LIU Yi, YU Mingkun, SUN Wei, SHAO Zhen, HU Yuanyuan, BI Hongsheng. The effectiveness and safety of orthokeratology on controlling myopia of children: a meta-analysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 92-100.
[14] LI DanyangOverview,LIANG HuiGuidance. Advancements in orofacial myofunctional therapy for obstructive sleep apnea [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 108-114.
[15] FENG Chen, GUO Ruixiang, WANG Yan. Application and progress of coblation in children with obstructive sleep apnea [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 16-21.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] MA Bao-feng,DANG Guang-fu .

Trans-scleral suture fixation in implantation of foldable intraocular lenses

[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(4): 376 -378 .
[2] FENG Xin-rong,ZHANG Hong-xia,XU Zhen-ji,QU Jun-jun, . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(3): 225 -226 .
[3] ZHANG Qiu-gui,HE Hai-yan . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(6): 520 -521 .
[4] LI Hai-yan,ZHAO Qiu-liang,HAN Xiao-pan,YU li . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(6): 527 -529 .
[5] SONG Xi-cheng,ZHANG hua,ZHANG Qing-quan . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(5): 385 -387 .
[6] ZHAN Shan-qiang,KONG Fan-li,CAO Wen-juan,TANG Jie . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(6): 559 -560 .
[7] ZHANG Hu,AI Qin . Re-operation for thyroid cancer[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2007, 21(2): 166 -167 .
[8] HU Ming,LI Zhao-na,LI Yun-jie ,TAO Xiang-chen . Effect of rigid gas permeable contact lens on keratoconus[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2007, 21(2): 171 -173 .
[9] LOU Feng . Effect of bilateral superior laryngeal nerve block on preventing cardiovascular reaction[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(2): 173 -175 .
[10] CHEN Wei-Xiong, WANG Yue-Jian, CENG Yong, HE Fa-Yao, ZHANG Jian-Li, ZHENG Li-Gang, TANG Su-Cheng. Clinical experience of no-insufflation endoscopic thyroidectomy by a small incision upon the sternum[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2009, 23(4): 24 -26 .
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd