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Turkish Archives of Otolaryngology 2002; 40(1): 17-22 Abstract |
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The Surgical Treatment of Facial Paralysis due to Temporal Bone Fractures and Results Temporal Kemik Kırıklarına Bağlı Fasiyal Paralizilerde Cerrahi Tedavi ve Sonuçları Hamdi Arbağ, Yavuz Uyar, Çağatay Han Ülkü, Kayhan Öztürk, Fatih Çağlak |
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| Selçuk University, Faculty of Medicine, Department of ENT, Konya, Turkey |
| Key Words |
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| Temporal bone fractures, facial nerve, paralysis, middle fossa approach |
| Abstract |
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Objectives:
The purpose of this study is to discuss the superiority of the
approaches to each other by means of timing, and necessity of surgery in
facial paralysis related with temporal bone fractures in the view of
literature. Materials
and Methods: Twenty-seven cases, who had an operation due to facial
paralysis caused by temporal bone fractures, were reviewed
retrospectively. Transmastoid approach was applied in 14 (52%) of these
cases, transtemporal supralabyrinthine approach was applied in 10 (37%)
cases and translabyrinthine was applied in 3 (11%) cases. The operation
indication was determined with clinical examination, radiologic findings
and electrodiagnostic tests. Results:
There was interruption in the nerve in 9 (33.3%) of cases, bone
fragments impinging on the nerve in 8 (29.6%) of cases and perineural
hematoma in 10 (37%) of cases. Edema was found in the nerve of all the
cases who had an operation within a month after the trauma. The site of
the injury in all transverse fractures was in the labyrinthine segment.
In longitudinal fractures neural injury in 90.4% of cases was situated
in the perigeniculate region. |
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| Accepted after revision: September 10, 2001 | |||
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Correspondence: |
Hamdi Arbağ, MD Selçuk Üniveristesi Tıp Fakültesi KBB Anabilim Dalı Akyokuş 42080 Konya - Türkiye, Phone: (0332) 323 26 00 / 1417 e-mail: harbag@usa.net
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Copyright © 2002-2005 by the Turkish Otolaryngology & Head and Neck Surgery Foundation. |
