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Trans-tensor tympani facial nerve decompression in traumatic facial nerve palsy

Published online by Cambridge University Press:  15 August 2013

J H Jung ,
S M Hyun ,
H J Park  and
T H Yoon
J H Jung
Affiliation:
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea
S M Hyun
Affiliation:
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea
H J Park*
Affiliation:
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea
T H Yoon
Affiliation:
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea
*
Address for correspondence: Dr Hong Ju Park, Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, 86 Asanbyeongwon-gil, Songpa-gu, Seoul 138-736, South Korea Fax: +82 2 489 2773 E-mail: dzness@hotmail.com
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Abstract

Objective:

The surgical approaches previously reported for facial nerve decompression have focussed on achieving good exposure of the lateral or superior aspects of the geniculate ganglion. This report aims to describe a unique case of facial nerve decompression beneath the geniculate ganglion.

Patient:

A 30-year-old woman with right-sided facial palsy due to a temporal bone fracture.

Intervention:

Bony fragments at the base of the geniculate ganglion were removed via a trans-tensor tympani approach with extended posterior tympanotomy.

Results:

The patient's facial movement recovered successfully, without complications such as sensorineural hearing loss and conductive hearing loss.

Conclusion:

In rare cases requiring decompression of the facial nerve inferior to the perigeniculate area, the trans-tensor tympani approach should be considered as a valuable alternative option when surgical intervention is considered.

Keywords

Facial Nerve PalsyDecompressionSurgeryTrauma
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 9 , September 2013 , pp. 936 - 938
Copyright
Copyright © JLO (1984) Limited 2013 

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References

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