[Surgical treatment of early facial palsies in cases of longitudinal fractures of the temporal bone (author's transl)].

Longitudinal fractures of the temporal bone are complicated by facial palsies in 10--25% According to the results of Fisch the lesions of the facial nerve are ever situated at the labyrinthine segment of the nerve. The most frequent lesion is the impression of bone fragments in the Fallopian canal. Clinical controls of the progredience of the palsy and tomographies are necessary. The only successful therapy in cases of early facial palsies due to longitudinal temporal bone fractures is the total decompression of the facial nerve with the combinated transmastoid approach and middle fossa approach.