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Totally endoscopic transcanal facial nerve decompression in patients with traumatic facial nerve paralysis: from geniculate ganglion to mastoid segment

Published online by Cambridge University Press:  16 November 2022

A Daneshi Open the ORCID record for A Daneshi [Opens in a new window] ,
A Asghari ,
M Mirsalehi ,
M Kiani Asiabar  and
S Mohebbi
A Daneshi*
Affiliation:
ENT and Head and Neck Research Centre and Department, The Five Senses Health Institute, School of Medicine, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
A Asghari
Affiliation:
Skull Base Research Centre, The Five Senses Health Institute, School of Medicine, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
M Mirsalehi
Affiliation:
ENT and Head and Neck Research Centre and Department, The Five Senses Health Institute, School of Medicine, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
M Kiani Asiabar
Affiliation:
ENT and Head and Neck Research Centre and Department, The Five Senses Health Institute, School of Medicine, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
S Mohebbi
Affiliation:
Skull Base Research Centre, The Five Senses Health Institute, School of Medicine, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
*
Corresponding author: Ahmad Daneshi; Email: Daneshiahmad@gmail.com
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Abstract

Objective

The current study evaluated the effectiveness of endoscopic transcanal facial nerve decompression in patients with post-traumatic facial nerve paralysis.

Methods

This retrospective study included 10 patients with post-traumatic complete facial nerve paralysis who underwent endoscopic transcanal facial nerve decompression. The surgical technique was explained step by step, and the surgical complications, hearing status and facial nerve function 12 months post-operatively were reported.

Results

Endoscopic transcanal facial nerve decompression allowed exposure of the geniculate ganglion to the mastoid segment. The facial nerve function improved from House–Brackmann grade VI to grades I and II in 8 of 10 (80 per cent) patients, and 2 patients experienced partial recovery (House–Brackmann grades III and IV). No severe complication was reported.

Conclusion

Endoscopic transcanal facial nerve decompression, involving the nerve from the geniculate ganglion to the mastoid segment, is a safe and effective approach in patients with post-traumatic facial nerve paralysis.

Keywords

Facial nerveendoscopyfacial nerve injurysurgical decompression
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 12 , December 2023 , pp. 1334 - 1339
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr A Daneshi takes responsibility for the integrity of the content of the paper

References

Hato, N, Nota, J, Hakuba, N, Gyo, K, Yanagihara, N. Facial nerve decompression surgery in patients with temporal bone trauma: analysis of 66 cases. J Trauma 2011;71:1789–92Google ScholarPubMed
Ho, AL, Scott, AM, Klassen, AF, Cano, SJ, Pusic, AL, Van Laeken, N. Measuring quality of life and patient satisfaction in facial paralysis patients: a systematic review of patient-reported outcome measures. Plast Reconstr Surg 2012;130:91–910.1097/PRS.0b013e318254b08dCrossRefGoogle ScholarPubMed
Lee, P-H, Liang, C-C, Huang, S-F, Liao, H-T. The outcome analysis of traumatic facial nerve palsy treated with systemic steroid therapy. J Craniofac Surg 2018;29:1842–710.1097/SCS.0000000000004641CrossRefGoogle ScholarPubMed
Xie, S, Wu, X, Zhang, Y, Xu, Z, Yang, T, Sun, H. The timing of surgical treatment of traumatic facial paralysis: a systematic review. Acta Otolaryngol 2016;136:1197–20010.1080/00016489.2016.1201862CrossRefGoogle ScholarPubMed
Darrouzet, V, Duclos, JY, Liguoro, D, Truilhe, Y, De Bonfils, C, Bebear, JP. Management of facial paralysis resulting from temporal bone fractures: our experience in 115 cases. Otolaryngol Head Neck Surg 2001;125:77–8410.1067/mhn.2001.116182CrossRefGoogle ScholarPubMed
Rajati, M, Rad, MP, Irani, S, Khorsandi, MT, Zarandy, MM. Accuracy of high-resolution computed tomography in locating facial nerve injury sites in temporal bone trauma. Eur Arch Otorhinolaryngol 2014;271:2185–910.1007/s00405-013-2709-4CrossRefGoogle ScholarPubMed
Marchioni, D, Alicandri-Ciufelli, M, Mattioli, F, Nogeira, JF, Tarabichi, M, Villari, D et al. From external to internal auditory canal: surgical anatomy by an exclusive endoscopic approach. Eur Arch Otorhinolaryngol 2013;270:1267–7510.1007/s00405-012-2137-xCrossRefGoogle ScholarPubMed
Marchioni, D, Alicandri-Ciufelli, M, Rubini, A, Presutti, L. Endoscopic transcanal corridors to the lateral skull base: initial experiences. Laryngoscope 2015;125:S1–1310.1002/lary.25203CrossRefGoogle Scholar
Marchioni, D, Molteni, G, Presutti, L. Endoscopic anatomy of the middle ear. Indian J Otolaryngol Head Neck Surg 2011;63:101–1310.1007/s12070-011-0159-0CrossRefGoogle ScholarPubMed
Marchioni, D, Soloperto, D, Rubini, A, Nogueira, JF, Badr-El-Dine, M, Presutti, L. Endoscopic facial nerve surgery. Otolaryngol Clin North Am 2016;49:1173–8710.1016/j.otc.2016.05.006CrossRefGoogle ScholarPubMed
Daneshi, A, Jahandideh, H. Totally endoscopic stapes surgery without packing: novel technique bringing most comfort to the patients. Eur Arch Otorhinolaryngol 2016;273:631–410.1007/s00405-015-3614-9CrossRefGoogle ScholarPubMed
House, JW. Facial nerve grading systems. Laryngoscope 1983;93:1056–6910.1288/00005537-198308000-00016CrossRefGoogle ScholarPubMed
Coker, NJ, Kendall, KA, Jenkins, HA, Alford, BR. Traumatic infratemporal facial nerve injury: management rationale for preservation of function. Otolaryngol Neck Surg 1987;97:262–910.1177/019459988709700303CrossRefGoogle Scholar
Soloperto, D, Di Maro, F, Le Pera, B, Marchioni, D. Surgical anatomy of the facial nerve: from middle cranial fossa approach to endoscopic approach. A pictorial review. Eur Arch Otorhinolaryngol 2020;277:1315–2610.1007/s00405-020-05841-yCrossRefGoogle ScholarPubMed
Sun, DQ, Andresen, NS, Gantz, BJ. Surgical management of acute facial palsy. Otolaryngol Clin North Am 2018;51:1077–9210.1016/j.otc.2018.07.005CrossRefGoogle ScholarPubMed
Bento, RF, Pirana, S, Sweet, R, Castillo, A, Brito Neto, RV. The role of the middle fossa approach in the management of traumatic facial paralysis. Ear Nose Throat J 2004;83:817–2310.1177/014556130408301212CrossRefGoogle ScholarPubMed
Cannon, RB, Thomson, RS, Shelton, C, Gurgel, RK. Long-term outcomes after middle fossa approach for traumatic facial nerve paralysis. Otol Neurotol 2016;37:799–80410.1097/MAO.0000000000001033CrossRefGoogle ScholarPubMed
Aslan, H, Songu, M, Eren, E, Başoğlu, MS, Özkul, Y, Ateş, D et al. Results of decompression with middle cranial fossa approach or traumatic intratemporal fascial nerve injury. J Craniofac Surg 2014;25:1305–810.1097/SCS.0000000000000772CrossRefGoogle ScholarPubMed
Goh, SP, Tan, YX, Madzhi, DSA, Tang, IP. Surgical outcomes of transmastoid facial nerve decompression: preliminary data from a Malaysian tertiary hospital from 2013–2018. Med J Malaysia 2020;75:281–5Google Scholar
Gür, H, Görür, K, İsmi, O, Vayısoğlu, Y, Bal, KK, Özcan, C. Surgical outcomes of transmastoid facial nerve decompression for patients with traumatic facial nerve paralysis. J Int Adv Otol 2021;17:294–30010.5152/iao.2021.8506CrossRefGoogle ScholarPubMed
Kim, MW, Ryu, NG, Lim, BW, Kim, J. Temporal lobe retraction provides better surgical exposure of the peri-geniculate ganglion for facial nerve decompression via transmastoid approach. Yonsei Med J 2016;57:1482–710.3349/ymj.2016.57.6.1482CrossRefGoogle ScholarPubMed
Yanagihara, N. Transmastoid decompression of the facial nerve in temporal bone fracture. Otolaryngol Head Neck Surg 1982;90:616–2110.1177/019459988209000521CrossRefGoogle ScholarPubMed
Alicandri-Ciufelli, M, Fermi, M, Di Maro, F, Soloperto, D, Marchioni, D, Presutti, L. Endoscopic facial nerve decompression in post-traumatic facial palsies: pilot clinical experience. Eur Arch Otorhinolaryngol 2020;277:2701–710.1007/s00405-020-05997-7CrossRefGoogle ScholarPubMed
May, M, Klein, SR. Facial nerve decompression complications. Laryngoscope 1983;93:299–30510.1288/00005537-198303000-00011CrossRefGoogle ScholarPubMed
Liu, Y, Liu, S, Li, J, Chen, X, Sun, J, Li, Y. Management of facial palsy after temporal bone fracture via the transmastoid approach. Acta Otolaryngol 2015;135:307–1110.3109/00016489.2014.981287CrossRefGoogle ScholarPubMed
Daneshi, A, Daneshvar, A, Asghari, A, Farhadi, M, Mohebbi, S, Mohseni, M et al. Endoscopic versus microscopic cartilage myringoplasty in chronic otitis media. Iran J Otorhinolaryngol 2020;32:263–9Google ScholarPubMed
Coleman, H, Tikka, T, Curran, J, Iyer, A. Comparison of endoscopic vs microscopic ossiculoplasty: a study of 157 consecutive cases. Eur Arch Otorhinolaryngol 2023;280:89–9610.1007/s00405-022-07451-2CrossRefGoogle ScholarPubMed
Daneshi, A, Asghari, A, Mohebbi, S, Farhadi, M, Farahani, F, Mohseni, M. Total endoscopic approach in glomus tympanicum surgery. Iran J Otorhinolaryngol 2017;29:305–11Google ScholarPubMed
Marchioni, D, Alicandri-Ciufelli, M, Piccinini, A, Genovese, E, Monzani, D, Tarabichi, M et al. Surgical anatomy of transcanal endoscopic approach to the tympanic facial nerve. Laryngoscope 2011;121:1565–7310.1002/lary.21819CrossRefGoogle Scholar
Kahinga, AA, Han, JH, Moon, IS. Total transcanal endoscopic facial nerve decompression for traumatic facial nerve palsy. Yonsei Med J 2018;59:457–6010.3349/ymj.2018.59.3.457CrossRefGoogle ScholarPubMed
Wang, Z, Chai, Y, Chen, Z, Wu, H, Wang, Z. Endoscopic transcanal facial nerve decompression in Bell's palsy: a pilot study. Am J Otolaryngol 2022;43:10316710.1016/j.amjoto.2021.103167CrossRefGoogle ScholarPubMed