J Otolaryngol Ophthalmol Shandong Univ ›› 2013, Vol. 27 ›› Issue (1): 31-32.doi: 10.6040/j.issn.1673-3770.0.2012.217

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Transmastoid approach treatment for facial paralysis complicated by otitis media cholesteatoma（75 cases report）

LIU Jun1, ZHAO Yu2, ZOU Jian2, QIN Xue-ling2.   

  1. 1. Department of Otolaryngology Surgery, The People’s Hospital of Alar City Nong yi Shi, Alar 843300, Xinjiang, China;  2. Department of Otorhinolaryngology & Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
  • Received:2012-04-13 Published:2013-02-16

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Abstract:

Objective   To investigate the effect and method of transmastoid approach treatment for facial nerve paralysis complicated by otitis media cholesteatoma. Methods   Clinical data of 75 peripheral facial paralysis patients caused by middle ear cholesteatoma were reviewed, including 13 cases involving the vertical segment, 36 cases involving the horizontal segment and cone segment, 22 cases involving the geniculate ganglion, and 4 cases involving the geniculate ganglion and labyrinth segment. Facial decompression surgery was performed through transmastoid apporach. Results   In a 1 to 6-month follow-up, facial nerve function rehabilitated to Ⅰ~Ⅴ level based on House - Beckmann facial grading system score. Conclusion   Transmastoid approach is a reliable method for facial nerve decompression in the treatment of peripheral facial paralysis caused by middle ear cholesteatoma.

Key words: Facial nerve, Facial nerve decompression,  Cholesteatoma

CLC Number: 

  • R764.2
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