gms | German Medical Science

The rational of our study is to study the cases of the canalis facialis lesion, combined injuries of temporal bone and base bone and middle ear disorder, occurred relatively more in our country.

Materials and methods: The 2013–2015 study involves 12 patients who have facial nerve paralysis because of different types of reasons and doesn’t involve patients who have had facial nerve paralysis for over 6 months. They were examined through CT and MRI examinations to locate the areas of the canalis facialis lesion.

Results: We selected 5 patients with temporal bone fracture, 2 patients with combined horizontal and cross fractures, e study, and 4 patients with the canalis facialis lesion after middle ear operations and 1 patient with Bell’s syndrome.

The table of House-Brackmann was used to clarify the level of paralysis and all patients are noted to be 4th level.

We have conducted surgeries on dispensing facial nerve for 10 patients and on joining facial nerve for 2 patients. The surgeries were done with three steps.

Within 18 days after the surgery done, the facial paralysis of 6 patients was completely treated. After 30 days, the facial paralysis of 2 patients was treated and after 45 days the facial paralysis of 1 patient was treated.

1 patient had the the canalis facialis lesion on the pars tympanic due to the surgery on middle ear surgery and had a connection using Auricularis magnium during the surgery.

Conclusion:

1.

It would be more effective if the surgery of the facial nerve paralysis because of the temporal bone fractures is performed within 3 months after patients have injuries.

2.

After the rehabilitative surgery on the facial nerve, the combined application of hormone treatment, needle therapy is reducing the duration of treatment.

Supported by: Some Results of Surgical Rehabilitation of facial nerve paralysis in case of temporal bone trauma.

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