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Our Experience in Facial Paralysis

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Facial nerve paralysis is one of the most common symptom an otology surgeon comes across. Aim of this article is to review the literature, to study the important causes, pathogenesis and to know the common sites of involvement in different types of facial paralysis with importance of imaging in identifying the site of lesion and role of surgery and outcome of conservative management in case of infranuclear facial paralysis. This is a prospective study of 23 cases of infranuclear facial paralysis in case of post-head injury, post-mastoidectomy and otitis media. Facial paralysis due to post head injury is more common in adult males due to their active life and road traffic accident is the main cause. Longitudinal Fracture of temporal bone is a common fracture and it accounts for more number of facial paralysis. Decompression of the Facial nerve has beneficial effects. HRCT delineates the status of facial nerve in intratemporal part. Cholesteatoma and granulation tissue both play equal causative role for facial paralysis in otitis media.

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References

  1. Sanuş GZ, Tanriöver N, Tanriverdi T, Uzan M, Akar Z (2007) Late decompression in patients with acute facial nerve paralysis after temporal bone fracture. Turk Neurosurg 17(1):7–12

    Google Scholar 

  2. Turel KE, Sharma NK, Verghese J, Desai S (2005) Post traumatic facial paralysis, treatment options and strategies. Indian J Neurotrauma 2(1):33–34

    Article  Google Scholar 

  3. Rajati M, Rad MP, Irani S, Khorsandi MT, Zarandy MM (2014) Accuracy of high resolution computed tomography in locating facial nerve injury sites in temporal bone trauma. Eur Arch Oto Rhino Laryngol 271(8):2185–2189

    Article  Google Scholar 

  4. Ulug T, Arif Ulubil S (2005) Management of facial paralysis in temporal bone fractures: a prospective study analyzing 11 operated fractures. Am J Otolaryngol 26(4):230–238

    Article  Google Scholar 

  5. May M (2000) The facial nerve, 2nd edn. Thieme, New York, pp 367–382

    Google Scholar 

  6. Nilssen ELK, Wormald PJ (1997) Facial nerve palsy in mastoid surgery. J Laryngol Otol 111:113–116

    Article  CAS  Google Scholar 

  7. Green JD, Shelton C, Brackmann DE (1994) Iatrogenic facial nerve injury during otologic surgery. Laryngoscope 104:922–926

    Article  Google Scholar 

  8. Long YT, Athar PP, Mahmud R, Saim L (2004) Management of iatrogenic facial nerve palsy and labyrinthine fistula in mastoid surgery. Asian J Surg 27(3):176–179

    Article  Google Scholar 

  9. Yetiser Sertac, Tosun Fuat, Kazkayas Mustafa (2002) Facial nerve paralysis due to chronic otitis media. Otol Neurotol 23(4):580–588

    Article  Google Scholar 

  10. Gandhi BS, Agarwal AK (2001) Clinical profile of patients with complications following otitis media. Indian J Otolaryngol Head Neck Surg 53(1):11–13

    Article  CAS  Google Scholar 

  11. Baljosevic I, Micic S, Baljosevic Z, Milovanovic J (2000) Facial nerve paralysis as a sequelae of chronic suppurative otitis media. Med Pregl 53(1–2):93–96

    CAS  Google Scholar 

  12. Siddiq MA, Hanu-Cernat LM, Irving RM (2007) Facial palsy secondary to cholesteatoma: analysis of outcome following surgery. J Laryngol Otol 121(2):114–117

    Article  CAS  Google Scholar 

  13. Harker LA, Pignatari SS (1992) Facial nerve paralysis secondary to chronic otitis media without cholesteatoma. Am J Otol 13(4):372–374

    CAS  Google Scholar 

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Correspondence to Nikhil Patel.

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Patel, N., Aiyer, R.G. Our Experience in Facial Paralysis. Indian J Otolaryngol Head Neck Surg 74 (Suppl 3), 5235–5239 (2022). https://doi.org/10.1007/s12070-020-01905-x

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  • DOI: https://doi.org/10.1007/s12070-020-01905-x

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