Irugu David Victor Kumar, Singh Anoop, Ch Sravan, Panuganti Achyuth, Acharya Anand, Varma Hitesh, Thota Ramya, Falcioni Maurizio, Reddy Sridhar
Department of Otorhinolaryngology and Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi, India.
Department of Surgery, Christian Medical College, Vellore, Tamil Nadu, India.
Codas. 2018;30(1):e20170063. doi: 10.1590/2317-1782/20182017063. Epub 2018 Feb 8.
Purpose To study the intraoperative findings in case of early and delayed decompression of facial nerve paralysis and compare their results. Methods Retrospective data analysis of 23 cases of longitudinal temporal bone fracture with House-Brackmann grade V and VI facial nerve paralysis. All cases were thoroughly evaluated and underwent facial nerve decompression through the transmastoid approach. All cases were under regular follow-up till the date of manuscript submission. Results Clinical improvement of the facial nerve function was observed for early vs. delayed facial nerve decompression. In the early decompression group, facial nerve function improved to grade II in eight cases (80%) and grade III in two cases (20%), whereas in the delayed decompression group it improved to grade II in one case (7.70%), grade III in four cases (30.76%), grade IV in seven cases (53.84%), and grade V in one case (7.70%). Conclusions Early decompression of facial nerve provides better results than delayed decompression because it enables early expansion of the nerve.
目的 研究面神经麻痹早期减压与延迟减压的术中发现，并比较其结果。方法 对23例House-Brackmann V级和VI级面神经麻痹的纵行颞骨骨折病例进行回顾性数据分析。所有病例均经过全面评估，并通过经乳突入路进行面神经减压。所有病例均定期随访至稿件提交之日。结果 观察到面神经功能在早期与延迟面神经减压中有临床改善。在早期减压组中，8例（80%）面神经功能改善至II级，2例（20%）改善至III级；而在延迟减压组中，1例（7.70%）改善至II级，4例（30.76%）改善至III级，7例（53.84%）改善至IV级，1例（7.70%）改善至V级。结论 面神经早期减压比延迟减压效果更好，因为它能使神经早期扩张。
