Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2020
Endoscopic Decompression of the Labyrinthine Segment of the Facial Nerve.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Cornu Nicolas, Marchioni Daniele, Eliezer Michael, Verillaud Benjamin, Hautefort Charlotte, Green Andrew, Marc Morgane, Bresson Damien, Froelich Sebastien, Herman Philippe, Kania Romain
Аннотация
OBJECTIVE: To describe the outcome and feasibility of an exclusive endoscopic transcanal transpromontorial approach (ETTA) for decompression of the labyrinthine segment of the facial nerve (LSFN).
PATIENT: A 60-year-old man with a left-sided transverse fracture of temporal bone involving the LSFN, resulting in a grade VI House-Brackmann (HB) facial palsy, associated with ipsilateral total sensorineural hearing loss.
INTERVENTION: Surgical decompression of the LSFN by ETTA.
MAIN OUTCOME MEASURE: The patient underwent ETTA which allowed complete exposure and decompression of the LSFN.
RESULTS: One year postoperatively, the patient had recovered with House-Brackmann grade II facial function.
CONCLUSION: ETTA can be considered a valuable and appropriate technique for posttraumatic decompression of LSFN, associated with unilateral total sensorineural hearing loss. The procedure resulted in significant facial nerve function improvement. ETTA should be considered both a scarless, mastoid conserving and less invasive surgical technique for posttraumatic LSFN decompression associated with pre-existing cochlear impairment.
PATIENT: A 60-year-old man with a left-sided transverse fracture of temporal bone involving the LSFN, resulting in a grade VI House-Brackmann (HB) facial palsy, associated with ipsilateral total sensorineural hearing loss.
INTERVENTION: Surgical decompression of the LSFN by ETTA.
MAIN OUTCOME MEASURE: The patient underwent ETTA which allowed complete exposure and decompression of the LSFN.
RESULTS: One year postoperatively, the patient had recovered with House-Brackmann grade II facial function.
CONCLUSION: ETTA can be considered a valuable and appropriate technique for posttraumatic decompression of LSFN, associated with unilateral total sensorineural hearing loss. The procedure resulted in significant facial nerve function improvement. ETTA should be considered both a scarless, mastoid conserving and less invasive surgical technique for posttraumatic LSFN decompression associated with pre-existing cochlear impairment.