The role of the middle fossa approach in the management of traumatic facial paralysis

Revista Brasileira de Otorrinolaringologia

Sanchez, Tanit Ganz¹  Sweet, Robert Carl¹  Castilho, Arthur Menino¹  Brito Neto, Rubens Vuonno de¹  Pirana, Sulene¹  Bento, Ricardo Ferreira¹  Universidade de São Paulo¹ 

关键词: facial palsy;    trauma;    middle fossa.;   

DOI  :  10.1590/S0034-72992004000400008

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

Management of traumatic facial paralysis has several controversial aspects. One of these is the precise nature of surgical intervention to be used once the decision to operate has been made.STUDY DESIGN: chart review. AIMS AND METHODS: Between June 1984 and June 1993, 220 cases of traumatic facial paralysis with good cochlear reserve were treated at the University of São Paulo by the following surgical approach: decompression of the tympanic and mastoid segments by the transmastoid approach and decompression of the geniculate ganglion and the distal 50% of the labyrinthine segment by the middle fossa approach. We present a review of the literature and a discussion and results of our management.

【 授权许可】

Unknown