Surgical timing for facial paralysis after temporal bone trauma

Xu, Peng; Jin, Aiyan; Dai, Baoqiang; Li, Ruijie; Li, Yefeng

doi:10.1016/j.amjoto.2017.01.002

Cited by 18 publications

(14 citation statements)

References 19 publications

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“…In terms of acupuncture techniques, simple acupuncture treatments such as penetration needling, giant needling, meridian needling, shallow needling, and stagnant needling are widely used in convalescent treatments, with significant curative effects and promoting facial nerve recovery; especially, special acupuncture methods such as fire needling therapy, three-sided needle pricking bloodletting therapy, plum blossom needling therapy, balanced acupuncture therapy, and wrist-ankle acupuncture are also used in the treatment of facial paralysis, which enriches the treatment methods and improves the clinical efficacy [5,6]. However, how to opti-mize the TCM treatment plan through a rigorously designed multicenter large-sample clinical controlled study, improve the curative effect, improve its treatment evaluation plan, and clarify its mechanism through basic research are the focus of future research [7,8]. Note that acupuncture means that under the guidance of traditional Chinese medicine theory, the needle (usually filiform needle) is inserted into the patient's body at a certain angle, and acupuncture techniques such as twisting and lifting and inserting are used to stimulate specific parts of the human body, so as to achieve the purpose of treating diseases.…”

Section: Introductionsmentioning

confidence: 99%

Observation on the Clinical Effect of Acupuncture and Moxibustion Combined with Repeated Transcranial Magnetic Stimulation on Facial Paralysis

Liu¹,

Qiang²

2021

Computational and Mathematical Methods in Medicine

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In view of the difficulty in the treatment of facial paralysis and the poor effect of traditional methods, this paper proposes a strategy based on acupuncture and repeated transcranial magnetic stimulation. The three groups of patients were tested for efficacy using the H-B scale and the symptom characteristics and physical signs measurement scale. Acupuncture combined with repetitive transcranial magnetic stimulation can improve the clinical efficacy of facial paralysis. And it is significantly better than traditional paralysis and repetitive translational magnetic stimulation in the degree of healing.

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Section: Introductionsmentioning

confidence: 99%

Observation on the Clinical Effect of Acupuncture and Moxibustion Combined with Repeated Transcranial Magnetic Stimulation on Facial Paralysis

Liu¹,

Qiang²

2021

Computational and Mathematical Methods in Medicine

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“…Also, it is important to regularly perform clinical assessment and electrophysiological testing in the form of electroneurography (ENOG) and electromyography (EMG), to determine the timing onset of facial weakness and whether the injury is partial or complete [ 13 ]. However, surgery is usually recommended on instances where no regeneration potentials are noted with EMG, and after a prognosis of total paralysis with over 90% reduction in amplitude of motor response, as confirmed by ENOG [ 5 , 25 ]. Furthermore, an electrophysiological examination conducted on the 2nd week showed signs of nerve fiber degeneration >95% by ENOG, while facial EMG provided information on the fibrillation potentials, and the characteristic of denervated muscles.…”

Section: Discussionmentioning

confidence: 99%

Split hypoglossal facial anastomosis for facial nerve palsy due to skull base fractures: A case report

Prasetyo

Oley

2020

Annals of Medicine and Surgery

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Introduction Traumatic brain injury (TBI) is the most prevalent causes of morbidity and mortality worldwide. The biomechanics of primary TBI involve a direct impact, practically extended to the base of the skull, and most of the skull base fractures (SBF) are identified in anterior and medial cranial fossa. Furthermore, those predicted in the medial area are related to fissures from temporal bones. Presentation of case We report two cases of right facial nerve palsy initiated by SBF's, which were diagnosed and treated at our institution. The 3D CT evaluation in our first case showed a longitudinal fracture of the right petrosal bone, which was longitudinal and transverse for the second case. Two cases of facial nerve palsy were managed with split hypoglossal facial anastomosis to restore functional reanimation. All patients were adequately achieved after the procedure, and the hypoglossal nerve function was preserved. Conclusion Split hypoglossal facial anastomosis technique was used to treat patients with facial nerve paralysis resulting from SBF's. This was to achieve good recovery outcome, in terms of facial reanimation and preservation of tongue function.

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“…Middle cranial fossa approach and the transmastoid including its modifications, and the two combined together are the approaches currently used for facial nerve decompression depending on the site of injury, which is frequently deduced from the HRCT scan of the temporal bone. 1 2 3 4 9 10 11 …”

Section: Discussionmentioning

confidence: 99%

“…The outcome of facial nerve decompression through this approach was assessed using the H-B grading system for facial nerve function, and results were similar to those reported previously for middle cranial fossa, transmastoid, and combined approaches. 2 4 9 11 …”

Section: Discussionmentioning

confidence: 99%

Total Transcanal Endoscopic Facial Nerve Decompression for Traumatic Facial Nerve Palsy

2018

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A few approaches can be used to decompress traumatic facial nerve paralysis including the middle cranial fossa approach or transmastoid approach depending on the site of injury. In some specific situation of treating traumatic facial nerve palsy whose injured site was confined from the geniculate ganglion to the second genu, transcanal endoscopic approach for facial nerve decompression can be used. We performed two cases of total endoscopic transcanal facial nerve decompression in patients with traumatic facial nerve palsy. After a six month follow-up, both patients showed improvement in facial function by 2 grades according to House-Brackmann grade system. In terms of treatment outcomes, total transcanal endoscopic facial nerve decompression for traumatic facial nerve palsy is an alternative for lesions limited to the tympanic segment I, and has an advantages of being minimally invasive and is cosmetically acceptable without an external scar or bony depression due to drilling.

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Surgical timing for facial paralysis after temporal bone trauma

Cited by 18 publications

References 19 publications

Observation on the Clinical Effect of Acupuncture and Moxibustion Combined with Repeated Transcranial Magnetic Stimulation on Facial Paralysis

Observation on the Clinical Effect of Acupuncture and Moxibustion Combined with Repeated Transcranial Magnetic Stimulation on Facial Paralysis

Split hypoglossal facial anastomosis for facial nerve palsy due to skull base fractures: A case report

Total Transcanal Endoscopic Facial Nerve Decompression for Traumatic Facial Nerve Palsy

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