Surgical Management of Acute Facial Palsy

被引：39

作者：

Sun, Daniel Q. ^{[1
]}

Andresen, Nicholas S. ^{[1
]}

Gantz, Bruce J. ^{[2
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, 601 N Caroline St 6th Floor, Baltimore, MD 21287 USA

[2] Univ Iowa Hosp & Clin, 375 Newton Rd, Iowa City, IA 52242 USA

来源：

OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA | 2018年 / 51卷 / 06期

关键词：

Bell palsy; Temporal bone fracture; Facial nerve; Facial nerve paralysis; Facial nerve decompression; Neurotology; HERPES-SIMPLEX-VIRUS; BELLS-PALSY; TRANSMASTOID DECOMPRESSION; GENICULATE GANGLION; VIRAL-DNA; NERVE; PREDNISOLONE; SURGERY; ELECTRONEUROGRAPHY; REACTIVATION;

D O I：

10.1016/j.otc.2018.07.005

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Bell palsy and traumatic facial nerve injury are two common causes of acute facial palsy. Most patients with Bell palsy recover favorably with medical therapy alone. However, those with complete paralysis (House-Brackmann 6/6), greater than 90% degeneration on electroneurography, and absent electromyography activity may benefit from surgical decompression via a middle cranial fossa (MCF) approach. Patients with acute facial palsy from traumatic temporal bone fracture who meet these same criteria may be candidates for decompression via an MCF or translabyrinthine approach based on hearing status.

引用

页码：1077 / +

页数：17

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