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[Facial paralysis after temporal bone trauma].

C Bodenez·V Darrouzet·M Rouanet-Larriviere·X Barreau·D Liguoro·J-P Bebear·V Franco-Vidal
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Abstract

OBJECTIVES: To evaluate functional outcome in 64 cases of facial paralysis following temporal bone fracture and discuss decisive arguments leading either to medical treatment or surgical management. METHODS: Sixty-four patients suffering from post-traumatic facial paralysis were managed between 1995 and 2003: 38 (59%) were given medical treatment and 26 (41%) underwent surgery. A combined middle fossa and transmastoid approach was mostly used (58%). Electrophysiological testing and CT scan results were the main points of the decision algorithm. RESULTS: Electroneuromyography seems to be the most accurate exploration for guiding treatment. Good results (grades I to II on the House and Brackmann scale) were obtained in 63% of cases after medical management and in 39% of cases after surgical treatment. Grades III or IV were obtained in 13% of medically-treated patients and 42% of surgically-treated patients. CONCLUSION: Management of facial paralysis following temporal bone fracture in accordance with electrophysiological testing (evoked EMG) together with CT scan findings enabled accurate indications for surgical treatment. A good grade I or II result can be expected after medical management. A grade III is at best reached after nerve anastomosis.

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AdolescentAdultAgedAnti-Inflammatory AgentsAudiometryChildCombined Modality TherapyElectromyographyFacial ParalysisFemaleHumansMaleMethylprednisoloneMiddle AgedPrednisoneTemporal BoneTomography, X-Ray ComputedWounds and InjuriesEnglish AbstractJournal Article

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C Bodenez, V Darrouzet, M Rouanet-Larriviere, X Barreau, D Liguoro, J-P Bebear, V Franco-Vidal. 2006. [Facial paralysis after temporal bone trauma].. https://doi.org/10.1016/s0003-438x(06)76633-6

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