Subtotal facial nerve decompression for recurrent facial palsy in Melkersson Rosenthal syndrome

Abstract

There were no further attacks of facial palsy in any of the cases. Seven cases (87.5%) recovered to grade I or grade II, and three of eight cases (37.5%) recovered completely. We found obvious edema of the facial nerve at the mastoid segment in all cases, at the tympanic segment and geniculate ganglion in five cases (62.5%), and at the labyrinthine segment in only one case (12.5%).

RETRACTED ARTICLE: Total facial nerve decompression in severe idiopathic recurrent facial palsy

“…Therefore, we Eur Arch Otorhinolaryngol selected total facial nerve decompression. Interestingly, it seemed that subtotal facial nerve decompression from stylomastoid foramen to geniculate ganglion or labyrinthine segment or decompression from meatal foramen to geniculate ganglion was also effective to prevent further episodes of recurrent facial palsy [6,9,20]. But the enrolled cases were smaller, and further research was required to draw a relatively convincing conclusion.…”

Clinical characteristics and outcomes of intratemporal facial nerve neurofibromas

“…In the current series, transmastoid approach was used when the tumors were located at tympanic segment or mastoid segment or both, and middle cranial fossa approach was introduced when internal auditory canal, labyrinthine segment or geniculate ganglion was affected, while middle cranial fossa combined with transmastoid approach was utilized when the tumors affected both the former and latter sites. Interestingly, certain authors attempted transmastoid approach to remove tumors at the geniclate ganglion or labyrinthine segment or decompress facial nerve from stylomastoid foramen till distal labyrinthine segment [6,14,15]. The critical step of their approach was to remove incus temporarily and then reposition appropriately, and the main problem was that it was possible to develop mild conductive hearing loss, which may be avoided if the incus was repositioned exactly.…”

Melkersson-Rosenthal Syndrome: A Case Report

“…Subtotal fasiyal sinir dekompresyonu yapılan 8 olgulu bir çalışmada, hastalar 2-5 yıl arası izlenmiş, hiçbir hastada fasiyal palsi atağı izlenmemiştir. Fasiyal sinirde ödem; mastoid segmentinde bütün hastalarda, timpanik segment ve genikulat ganglionda 5 (% 62,5) hastada, labirentin segmentde ise 1 (% 12,5) hastada gözlenmiştir (14) . Ayrıca cerrahi yaklaşımla cheiloplasty ve blepharoplasty yapılarak fasial ödem azaltılabilir (11) .…”