The outcome of facial nerve decompression via transmastoid approach in facial palsy secondary to the temporal bone fracture

The outcome of facial nerve decompression via transmastoid approach in facial palsy secondary to the temporal bone fracture

OBJECTIVES: The aim of this study is to analyze the outcome of surgical management in traumatic facial paralysis secondary to temporal bone fracture. STUDY DESIGN AND METHODS: Prospective review was done in eleven patients with House-Brackmann’s grading more than IV. The facial nerves were decom...

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Main Authors: Raja Lope Ahmad, Raja Ahmad Al'konee, Wan Leman, Wan Ishlah, Abdullah, Kahairi, Md Ralib @ Md Raghib, Ahmad Razali, Kamarudin, Norie Azilah
Format: Conference or Workshop Item
Language:English
English
English
Published: 2007
Subjects:
RF Otorhinolaryngology
Online Access:http://irep.iium.edu.my/16991/
http://irep.iium.edu.my/16991/1/Dr_Raja6.ORL.Washington.pdf
http://irep.iium.edu.my/16991/4/oto-annual_meeting.pdf
http://irep.iium.edu.my/16991/5/VII_N_Trauma.For_AAO-HNSF.P120.pdf
id iium-16991
recordtype eprints
spelling iium-169912012-05-23T01:28:15Z http://irep.iium.edu.my/16991/ The outcome of facial nerve decompression via transmastoid approach in facial palsy secondary to the temporal bone fracture Raja Lope Ahmad, Raja Ahmad Al'konee Wan Leman, Wan Ishlah Abdullah, Kahairi Md Ralib @ Md Raghib, Ahmad Razali Kamarudin, Norie Azilah RF Otorhinolaryngology OBJECTIVES: The aim of this study is to analyze the outcome of surgical management in traumatic facial paralysis secondary to temporal bone fracture. STUDY DESIGN AND METHODS: Prospective review was done in eleven patients with House-Brackmann’s grading more than IV. The facial nerves were decompressed via transmastoid approach. High-resolution computer tomography scan (HRCT), intra-operative findings and the functional recovery were analyzed. RESULTS: In all cases HRCT and intra-operative findings showed the fracture lines involved peri-geniculate area. In some cases, the fractures proceed antero-medially towards the facial hiatus and this can be approached via the supra-labyrinthine drilling with removal of the incus. Five patients experienced normal or near-normal recovery (HB grade I-II). Six patients recovered to HB grade III. CONCLUSION: The important deciding factors for facial nerve decompression are pre-operative HB grading more than IV, and HRCT revealed fracture line in the peri-geniculate area. Transmastoid facial nerve decompression is adequate to achieve favorable functional outcome. 2007-09 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/16991/1/Dr_Raja6.ORL.Washington.pdf application/pdf en http://irep.iium.edu.my/16991/4/oto-annual_meeting.pdf application/pdf en http://irep.iium.edu.my/16991/5/VII_N_Trauma.For_AAO-HNSF.P120.pdf Raja Lope Ahmad, Raja Ahmad Al'konee and Wan Leman, Wan Ishlah and Abdullah, Kahairi and Md Ralib @ Md Raghib, Ahmad Razali and Kamarudin, Norie Azilah (2007) The outcome of facial nerve decompression via transmastoid approach in facial palsy secondary to the temporal bone fracture. In: American Academy of Otolaryngology – Head & Neck Surgery Foundation Meeting, September 16th – 19th, 2007, Washington DC, U.S.A..
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
English
topic RF Otorhinolaryngology
spellingShingle RF Otorhinolaryngology
Raja Lope Ahmad, Raja Ahmad Al'konee
Wan Leman, Wan Ishlah
Abdullah, Kahairi
Md Ralib @ Md Raghib, Ahmad Razali
Kamarudin, Norie Azilah
The outcome of facial nerve decompression via transmastoid approach in facial palsy secondary to the temporal bone fracture
description OBJECTIVES: The aim of this study is to analyze the outcome of surgical management in traumatic facial paralysis secondary to temporal bone fracture. STUDY DESIGN AND METHODS: Prospective review was done in eleven patients with House-Brackmann’s grading more than IV. The facial nerves were decompressed via transmastoid approach. High-resolution computer tomography scan (HRCT), intra-operative findings and the functional recovery were analyzed. RESULTS: In all cases HRCT and intra-operative findings showed the fracture lines involved peri-geniculate area. In some cases, the fractures proceed antero-medially towards the facial hiatus and this can be approached via the supra-labyrinthine drilling with removal of the incus. Five patients experienced normal or near-normal recovery (HB grade I-II). Six patients recovered to HB grade III. CONCLUSION: The important deciding factors for facial nerve decompression are pre-operative HB grading more than IV, and HRCT revealed fracture line in the peri-geniculate area. Transmastoid facial nerve decompression is adequate to achieve favorable functional outcome.
format Conference or Workshop Item
author Raja Lope Ahmad, Raja Ahmad Al'konee
Wan Leman, Wan Ishlah
Abdullah, Kahairi
Md Ralib @ Md Raghib, Ahmad Razali
Kamarudin, Norie Azilah
author_facet Raja Lope Ahmad, Raja Ahmad Al'konee
Wan Leman, Wan Ishlah
Abdullah, Kahairi
Md Ralib @ Md Raghib, Ahmad Razali
Kamarudin, Norie Azilah
author_sort Raja Lope Ahmad, Raja Ahmad Al'konee
title The outcome of facial nerve decompression via transmastoid approach in facial palsy secondary to the temporal bone fracture
title_short The outcome of facial nerve decompression via transmastoid approach in facial palsy secondary to the temporal bone fracture
title_full The outcome of facial nerve decompression via transmastoid approach in facial palsy secondary to the temporal bone fracture
title_fullStr The outcome of facial nerve decompression via transmastoid approach in facial palsy secondary to the temporal bone fracture
title_full_unstemmed The outcome of facial nerve decompression via transmastoid approach in facial palsy secondary to the temporal bone fracture
title_sort outcome of facial nerve decompression via transmastoid approach in facial palsy secondary to the temporal bone fracture
publishDate 2007
url http://irep.iium.edu.my/16991/
http://irep.iium.edu.my/16991/1/Dr_Raja6.ORL.Washington.pdf
http://irep.iium.edu.my/16991/4/oto-annual_meeting.pdf
http://irep.iium.edu.my/16991/5/VII_N_Trauma.For_AAO-HNSF.P120.pdf
first_indexed 2023-09-18T20:25:47Z
last_indexed 2023-09-18T20:25:47Z
_version_ 1777408407037280256

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