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- Title
Facial nerve decompression for idiopathic Bell's palsy: report of 13 cases and literature review.
- Authors
BODÉNEZ, C.; BERNAT, I.; WILLER, J.-C.; BARRÉ, P.; LAMAS, G.; TANKÉRÉ, F.
- Abstract
Introduction: The prognosis for cases of idiopathic facial palsy is usually good. However, some cases develop disabling sequelae, such as synkinesis or severe facial hemispasm, despite targeted medical treatment. Objectives: The authors try to achieve that electromyography is useful to identify patients with severe palsy and an unfavourable prognosis. These patients would probably benefit from facial nerve decompression. Setting: The otolaryngology -- head and neck surgery department of Pitié -Salpêtrière Hospital, Paris, a tertiary referral centre. Participants: Thirteen cases undergoing surgery between January 1997 and March 2007. Main outcome measures: We describe the electromyographic findings that led to surgery. All patients underwent surgery via a subpetrous approach, within four months of the onset of palsy. Decompression involved the first and second portions of the nerve and the geniculate ganglion. Results: Recovery to House--Brackmann grade III was obtained in all cases at one year follow up. Conclusion: These results compared favourably with previous reports. A new therapeutic procedure may allow improved results.
- Subjects
TREATMENT of facial paralysis; DECOMPRESSION (Physiology); NEUROSURGERY; ELECTROMYOGRAPHY; GENICULATE bodies; OTOLARYNGOLOGY
- Publication
Journal of Laryngology & Otology, 2010, Vol 124, Issue 3, p272
- ISSN
0022-2151
- Publication type
Article