Volume : VII, Issue : VIII, August - 2017

RETROSPECTIVE STUDY OF FACIAL NERVE DECOMPRESSION IN OUR INSTITUTE

Dr. B. Ganesh Kumar, Dr. C. Balasubramanian

Abstract :

   INTRODUCTION:

                                    Facial nerve paralysis occurs mainly due to Bell’s palsy followed by Temporal bone trauma, Cholesteatoma. Surgical decompression plays a major role in all types of cases.

 

OBJECTIVES:

Study about the Effectiveness of decompression by various Approaches, and to know the injured or involved segments in various cases taken in this study.

STUDY DESIGN:

                       Retrospective Study.

MATERIALS AND METHODS:

                        Study was conducted in ENT Department from Apr 2012 – Mar 2016. Total number of patients are 24.  UMNtype of Facial Palsy cases are excluded. All cases are followed regularly.

RESULTS:

 Facial Palsy due to Temporal bone fracture are more in number followed by  Cholesteatoma and Bell’s palsy. Longitudinal fractures are common. Transcanal decompression was effective for traumatic palsy. Mastoidectomy with nerve decompression in other cases. Horizontal segment involved in more cases.

DISCUSSION:

                              Facial palsy in longitudinal fracture was delayed onset and incomplete& in transverse fracture it was immediate and complete paralysis. Temporal bone trauma also presents with heå loss, vestibular disturbances and CSF otorrhea.   Early decompression gives best results. Early diagnosis and management of cholesteatoma can prevent the development facial palsy. Eye care and Postoperative Physiotheraphy also plays major role.  

CONCLUSION;

 Modified Radical Mastoidectomy with Facial Nerve Decompression approach was more effective than Simple Mastoidectomy with FND. Transcanal approach for traumatic palsy. Early diagnosis and decompression gives best results. Horizontal segment commonly involved in our study.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

DR.B.GANESH KUMAR, DR.C.BALASUBRAMANIAN, RETROSPECTIVE STUDY OF FACIAL NERVE DECOMPRESSION IN OUR INSTITUTE, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾8 | August‾2017

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