Korean J Otorhinolaryngol-Head Neck Surg.  2013 Feb;56(2):79-83. 10.3342/kjorl-hns.2013.56.2.79.

Outcomes and Prognosis of Patients Treated by Facial Nerve Decompression via Transmastoid Approach for Traumatic Facial Paralysis

• Jeong BS
• Ju YH
• Yang HC
• Kwack BG
• Paik JY
• Lee JH

• KMID: 2277742
• DOI: http://doi.org/10.3342/kjorl-hns.2013.56.2.79

Abstract

BACKGROUND AND OBJECTIVES
The aim of this study is to evaluate the outcomes and prognosis of traumatic facial paralysis in patients treated with facial nerve decompression via transmastoid approach.
SUBJECTS AND METHOD
The authors retrospectively reviewed 20 patients who suffered from temporal bone fractures resulting in facial paralysis and received surgical facial nerve decompression treatment via transmastoid approach from 2004 to 2012.
RESULTS
In 14 patients, the House-Brackmann grade improved to 1, 2, or 3. The preoperative average House-Brackmann grade of 4.95 improved from 4.95 to the postoperative average House-Brackmann grade of 3.15. Statistically significant improvements were found in all groups whether the operation was performed within two weeks, or from two weeks to four weeks, or after four weeks.
CONCLUSION
Postoperative results of facial nerve decompression in traumatic temporal bone fracture can be excellent. Surgeons can expect better outcomes with early diagnosis and lesser nerve damage.

Keyword

Decompression; Facial paralysis; Temporal bone; Trauma

MeSH Terms

Decompression
Early Diagnosis
Facial Nerve
Facial Paralysis
Humans
Prognosis
Retrospective Studies
Temporal Bone