Late Decompression in Acute Facial Paralysis After Temporal Bone Fracture: Is Surgery Needed?

norosirurjiozel12-1-22kapak

Taner TANRIVERDİa, Galip Zihni SANUSa
aİstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Neurosurgery, İstanbul, Türkiye

Tanrıverdi T, Sanus GZ. Late Decompression in acute facial paralysis after temporal bone fracture: Is surgery needed?. In: Sanus GZ, Batıoğlu Karaaltın A, eds. Surgical Management of Facial Nerve Paralysis. 1st ed. Ankara: Türkiye Klinikleri; 2022. p.127-32.

Article Language: EN

ABSTRACT
Facial nerve is the most commonly affected nerve after temporal bone fracture following head trauma due mainly to the anatomical relationship with the temporal bone. Management of traumatic facial nerve paralysis is challenging and there has been no data that may lead surgeons to have a common consensus. Furthermore, little information is available in the current literature related to the functional outcome of late decompression and debate is still whether late decompression should be performed or not. This chapter aims to provide an insight to the young surgeons, especially neurosurgeons and ear-nose-throat surgeons, to manage this devastating clinical condition timely. Given that there are no high-level clinical studies, the importance of discussing this issue becomes clear. The current body of evidence suggests that late decompression should be performed even in the absence of visible temporal bone fracture because late decompression has still a beneficial effect on functional recovery.

Keywords: Decompression; facial paralysis

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