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Surgical intervention for traumatic facial paralysis: an analysis of 15 patients

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https://doi.org/10.2399/jmu.2016002006
Baysal, E., Gülşen, S., Aytaç, İsmail, Çıkrıkçı, S., Gönüldaş, B., Durucu, C., Mumbuç, S., & Kanlıkama, M. (2016). Surgical intervention for traumatic facial paralysis: an analysis of 15 patients. ENT Updates, 6(2). https://doi.org/10.2399/jmu.2016002006
Volume 6 Issue 2 (2016)
Copyright (c) 2016 Elif Baysal, Secaattin Gülşen, İsmail Aytaç, Sercan Çıkrıkçı, Burhanettin Gönüldaş, Cengiz Durucu, Semih Mumbuç, Muzaffer Kanlıkama
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors

  • Elif Baysal
    Department of Otorhinolaryngology, Faculty of Medicine, İnönü University, Malatya, Turkey
  • Secaattin Gülşen Department of Otorhinolaryngology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
  • İsmail Aytaç Department of Otorhinolaryngology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
  • Sercan Çıkrıkçı Department of Otorhinolaryngology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
  • Burhanettin Gönüldaş Department of Otorhinolaryngology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
  • Cengiz Durucu Department of Otorhinolaryngology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
  • Semih Mumbuç Department of Otorhinolaryngology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
  • Muzaffer Kanlıkama Department of Otorhinolaryngology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey

Objective: The aim of the present study was to analyze patients who underwent facial nerve decompression.

Methods: A retrospective data analysis was performed on 15 patients operated between January 2005 and January 2015. All patients were evaluated with high-resolution temporal computed tomography, House-Brackmann grading system, and electrodiagnostic tools (electromyography or electroneurography).

Results: There were 8 female and 7 male patients with a mean age of 20.56 (range: 2 to 59) years. All of the patients underwent facial decompression surgery via a transmastoid approach.

Conclusion: Transmastoid approach in patients with facial nerve injuries within the first genu and the digastric ridge is appropriate, and the increase in the amplitude observed in the postoperative EMG records obtained from musculus orbicularis oculi may be considered as significant indicator of nerve recovery that occurs before clinical improvement.

Keywords:

Traumatic facial paralysis transmastoid approach electromyography

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