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KMID : 0378019700130080047
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New Medical Journal
1970 Volume.13 No. 8 p.47 ~ p.62
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Management of Intratemporal Facial Nerve Paralysis
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Abstract
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Statistically more than nine tenths´ of the facial nerve paralysis are due to a lesion within the temporal bone and so this disease is above all an otologic problem.
Recently many otologists interest is focused on facial nerve surgery with their well accustomed microsurgical technique in temporal bone surgery. A review of the causes and managements of facial nerve paralysis in recent literature was made with some cases of Seoul National University Hospital.
Surgical procedures for facial nerve paralysis of peripheral origin were classified and performed in order of followings according to the severity of nerve damage.
1. Decompression operation.
2. End-to-end anastomosis.
3. Free graft of the nerve.
4. Substitution anastomosis.
5. Plastic procedures for the face such as suspension operation.
For the better results after facial nerve surgery early detection of surgical indication with functional tests of nerve such as nerve excitability test (NET) and electromyography (EMG) is highly emphasized.
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