Facial nerve decompression surgery in patients with temporal bone trauma: analysis of 66 cases. Management of facial nerve injury due to temporal bone trauma. Total facial nerve decompression and electroneuronography. Philadelphia: WB Saunders 1973: 45-51.įisch U. Muscle Nerve: Official J Am Association Electrodiagnostic Med. Surgical management of traumatic intratemporal facial nerve paralysis: Looks matter. Surgical timing for facial paralysis after temporal bone trauma. Surgery for post-traumatic facial paralysis: are we overdoing it. Craniomaxillofacial Trauma Reconstruction. Facial nerve trauma: evaluation and considerations in management. Significance of House-Brackmann facial nerve grading global score in the setting of differential facial nerve function. Total facial nerve decompression for severe traumatic facial nerve paralysis: a review of 10 cases. Total transcanal endoscopic facial nerve decompression for traumatic facial nerve palsy. Temporal bone fractures: longitudinal or oblique? The case for oblique temporal bone fractures. Post traumatic facial paralysis treatment options and strategies. Surgical decompression if done early usually results in very good recovery. Surgical treatment is indicated in suspected bony impingement of nerve. 4 out 50 patients had poor recovery due to late presentation.Ĭonclusions: Early initiation of treatment is important for favorable recovery of facial nerve function after trauma. 46 out of 50 patients managed surgically had good recovery with restoration of complete facial nerve function. All the patients were managed by surgical decompression. Results: The cause of facial nerve palsy in all 50 patients was accidental head trauma. All the patients were evaluated and treated by surgical decompression. Patients were examined and graded using House and Brackmann grading system. Methods: This prospective cross-sectional study was carried out in 50 patients presented with facial nerve palsy due to trauma in civil hospital Ahmedabad over a period of 1 year from May 2018 to 2019. The aim is to study the evaluation and surgical management in traumatic cause of facial nerve palsy. Electrophysiological tests are important for prognosis and optimal time for surgery. Diagnosis of facial palsy is usually made by a good clinical history, examination and radiological investigations. Of all the cranial nerves, the facial nerve is most susceptible to injury due to its long course within the skull. Conclusion: The analysis of results for the two groups supports the conclusion that percutaneous laser disc decompression is a safe, minimally invasive, and strong alternative treatment to microdiscectomy in patients affected by herniated discs.Background: Acute facial paralysis can result from various causes, among which intra temporal facial palsy is relatively common. Complications occurred in 2.2% ( n = 11) in the microdiscectomy group and in 0% in the percutaneous laser disc decompression group. Results: In the microdiscectomy group, 85.6% of patients ( n = 428) had a good or excellent outcome in the percutaneous laser disc decompression group, 83.8% of patients ( n = 419) had a good or excellent outcome. The follow-up period was 2 years (☑ year).
The results were evaluated for both groups with the MacNab criteria. Age, gender distribution, multiple levels involved, and associated pathologies were not statistically different. The inclusion and exclusion criteria were the same for both groups of patients. Methods: Patients with herniated discs were treated by microdiscectomy ( n = 500) according to the Caspar technique, and patients with discogenic pain were treated with percutaneous laser disc decompression ( n = 500) according to the Choy technique. Background Data: It has been suggested in the literature that percutaneous laser disc decompression might be considered a serious and valid alternative to microdiscectomy in the treatment of patients with discogenic pain caused by herniated lumbar disc. Objective: This article aimed to analyze the neurosurgical results of 500 patients treated with microdiscectomies and 500 patients treated with percutaneous laser disc decompression.
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