Surgical Management of Acute Facial Palsy

Otolaryngologic Clinics of North America
Daniel Q SunB J Gantz

Abstract

Bell palsy and traumatic facial nerve injury are two common causes of acute facial palsy. Most patients with Bell palsy recover favorably with medical therapy alone. However, those with complete paralysis (House-Brackmann 6/6), greater than 90% degeneration on electroneurography, and absent electromyography activity may benefit from surgical decompression via a middle cranial fossa (MCF) approach. Patients with acute facial palsy from traumatic temporal bone fracture who meet these same criteria may be candidates for decompression via an MCF or translabyrinthine approach based on hearing status.

Citations

Jun 7, 2019·Current Opinion in Otolaryngology & Head and Neck Surgery·Danny Jandali, Peter C Revenaugh
Oct 23, 2019·Frontiers in Neurology·Vijayendra HonnurappaMiriam Redleaf
Oct 3, 2019·Clinical and Experimental Otorhinolaryngology·Jin Kim
Oct 1, 2019·Journal of Audiology & Otology·Janet Ren ChaoJun Ho Lee
Apr 8, 2020·International Journal of Dentistry·Ahmed Hassan Kamil Mustafa, Ahmed Mohammed Suleiman
Sep 7, 2019·Clinical and Experimental Otorhinolaryngology·Sang-Yeon LeeYoung Ho Kim
Nov 3, 2020·Laryngoscope Investigative Otolaryngology·Nicholas S AndresenDaniel Q Sun
Apr 15, 2021·Scientific Reports·Akira InagakiShingo Murakami
Jul 22, 2021·SAGE Open Medical Case Reports·Rajan Ghimire

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