Private ENT Clinic, Adana.
Health and Science University Adana City Training and Research Hospital, ENT Clinic, Adana.
J Craniofac Surg. 2022 May 1;33(3):750-753. doi: 10.1097/SCS.0000000000007977. Epub 2021 Jul 29.
In the etiology of facial nerve palsy, trauma is the most important. Our aim was to present our experience gained by evaluating the surgical approaches we have used in extratemporal and intratemporal facial nerve injuries and their long-term results, also to contribute to the consensus that will be formed on this subject.
Thirteen patients among 24 patients who underwent surgery with a diagnosis of traumatic facial paralysis were evaluated in this study. The clinical response of these patients to treatment was examined by classifying them according to the House-Brackmann classification in the preoperative and postoperative periods.
Of the 13 patients, 9 had fractures due to temporal bone trauma, and 4 had nerve damage in the extratemporal part of the facial nerve. in the treatment, facial nerve decompression was performed using the middle fossa approach in 9 patients with temporal bone fractures. in the 4 patients with extratemporal facial nerve injury, graft repair or primary suturing was performed. in the postoperative period, the stages of the patients were III or below in 12 patients (92%), and only 1 (8%) patient remained in stage IV.
When the postop conditions of the patients were examined according to House-Brackmann staging, it was observed that surgical treatment caused a significant improvement in the functions of the facial nerve.
Our results showed that surgery was an effective treatment method in patients with indications for traumatic facial paralysis.
在面神经麻痹的病因中，创伤是最重要的。我们的目的是展示我们在评估颞骨外和颞骨内面神经损伤所采用的手术入路及其长期结果方面所获得的经验，并为即将就此主题达成的共识做出贡献。
在这项研究中，对 24 例因创伤性面瘫而行手术的患者中的 13 例进行了评估。这些患者的临床反应通过术前和术后根据 House-Brackmann 分类进行分类来检查。
13 例患者中，9 例因颞骨外伤导致骨折，4 例因面神经颞骨外部分损伤。在治疗中，9 例颞骨骨折患者采用中颅窝入路行面神经减压术。4 例外周性面神经损伤患者行移植修复或一期缝合。术后，12 例（92%）患者处于 III 期或以下，仅 1 例（8%）患者处于 IV 期。
根据 House-Brackmann 分期检查患者的术后情况时，观察到手术治疗对面神经功能有显著改善。
我们的结果表明，对于有创伤性面瘫适应证的患者，手术是一种有效的治疗方法。
