The results of surgical treatment of the facial nerve paralysis
Journal Title: Otolaryngologia Polska - Year 2007, Vol 61, Issue 4
Abstract
Paralysis of the facial nerve reveales some symptoms which are very unfavourable for esthetic point of view (deformity of the face with incompetence of the palpebal function). It is recognized as the one of the most invalidity for humane life. There are many surgical techniques to reconstructive facial nerve such as: decompression, end to end or side to end anastomosis with hypoglosal, glosopharyngeal, axesorius or mandibular nerves. Reconstruction technique depends upon the extent of injury, the availability of the proximal stump and time since injury and duration of muscle denervation. In the presence of facial paralysis electrodiagnostic tests should be performed before surgery and every 3 mounts after, during rehabilitation, which play also the most important role in recovery. Material and methods. The authors present the outcome of the surgical treatment of the facial nerve paresis in 31 patients cured in the Silesian Department of Laryngology in Katowice from 1991 to 2002. The reasons of the paresis were otitis media with cholesteatoma and granuloma in 18 cases, head trauma in 2 patients and iatrogenic impairment after ear operations in 11 cases. The decompression of the facial nerve was done in 20 patients, anastomosis end to end in 3, crossover anastomoses between the facial nerve and the hypoglossal nerve was done in 1 case, and transplantation of auricular major nerve in 7 cases. Results. The outcome was good in 20 patients (64,5%), satisfactory in 10 patients (32,3%) and non satisfactory in one case (3,2%). Conclusion. In our material the most of cases was caused by otitis media with cholesteatoma. The best outcome was obtained after decompression of the facial nerve. The rehabilitation before and after surgery play the very important role in the recovery.<br/><br/>
Authors and Affiliations
Tatiana Gierek, Krystyna Majzel, Aleksandra Ślaska-Kaspera, Małgorzata Gwóźdź-Jezierska
Keywords
Related Articles
- EP ID EP346111
- DOI -
- Views 110
- Downloads 0
Udział Felixa Semona w badaniach nad unerwieniem ruchowym krtani
It remains of great interest of many scientists to establish the motor innervation of the larynx.Material and methods The authors of this study analyzed available literature regarding progress in research in motor innerv...
Identyfikacja wirusów ludzkich brodawczaków (HPV) w stanach zapalnych i nowotworach uszu
Introduction. Human Papilloma Virus has a strong relation to oropharyngeal mucosa and is considered to be responsible for a wide range of upper respiratory tract pathologies, like laryngeal papilloma. There’s a hypothesi...
Wartość oznaczeń wybranych parametrów diagnostycznych: ferrytyny, ultraczułego CRP i rozpuszczalnych fragmentów cytokeratyny 18. (TPS) w ocenie skuteczności terapii chorych z polipami nosa
Background: Chronic rhinosinusitis with nasal polyps is social, clinical and cost-effective problem, by reason of bothersome symptoms, chronic nature of the disease, tendency to recur and lack of satisfying treatment. Ai...
Clinical evaluation of CT scans of nasal cavity and paranasal sinuses
Introduction. Computed tomography is a basic imaging technique in nose and paranasal sinuses disease’s nowadays. Aim. The aim of the study was to outline current methodology of CT scanning of nose and paranasal sinuses....
Rzadki przypadek śmierci wskutek uduszenia się w następstwie zamknięcia światła górnych dróg oddechowych przez torbiel krtani
SUMMARY The report presents a rare case of suffocation due to upper airways obstruc-tion by a large mucolaryngocoele. The mechanism of death by suffocation was confirmed by histopathological examination of the Iungs whic...