Iatrogenic Facial Nerve Injury: Prevalence and Predisposing Factors

Dew, Leigh Anne; Shelton, Clough

doi:10.1177/014556139607501110

Cited by 22 publications

(13 citation statements)

References 29 publications

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“…2 In addition, it has been reported that the segments damaged most frequently by ear surgery are the tympanic and mastoid segments of the FN. 1,2,7,8 Moreover, FN injury due to the surgical trauma has been most commonly observed after mastoidectomy procedures. 2,8 These ndings prompted us to study the anatomical relationships of the mastoid portion of the FN.…”

Section: Discussionmentioning

confidence: 99%

Morphometric analysis of anatomical relationships of the facial nerve for mastoid surgery

et al. 2001

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Surgical anatomical relationships of the facial nerve (FN) with several landmarks used in mastoid surgery were studied in temporal bone axial high resolution CT scans of 90 patients (180 ears). The shortest distances between the FN and external auditory canal (EAC), sigmoid sinus (SS), posterior fossa dural plate (PFD), and joint of the bony EAC with the lateral surface of the mastoid (M) were measured. These measurements were also analysed in respect of pneumatization and side differences. On average, it was found that FN-EAC was 2.9 mm, FN-SS was 10.5 mm, FN-PFD was 7.3 mm and FN-M was 15.3 mm. FN-EAC was found to be longer in poorly pneumatized bones whereas other distances were longer in pneumatized bones. FN-M was found to be longer on the right side.

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Section: Discussionmentioning

confidence: 99%

Morphometric analysis of anatomical relationships of the facial nerve for mastoid surgery

et al. 2001

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“…Although injury is historically quoted to occur in less than 1% of procedures, it can be as high as 10% in certain revision cases [20]. The review by Svider et al [11 ] of 209 malpractice cases alleging cranial nerve injuries showed that the facial nerve was the most commonly litigated (24.4% of cases).…”

Section: Facial Nerve Injuriesmentioning

confidence: 99%

Updates in medical malpractice

Ruhl

Littlefield²

2015

Current Opinion in Otolaryngology & Head and Neck Surgery

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Recent findings suggest that the frequency of malpractice claims may be decreasing. Hearing loss and facial nerve injury are the most common injuries associated with otologic surgery. These injuries can be costly when negligence is found. Clinic practice guidelines are slowly being used as evidence in the courtroom and there are established guidelines that an expert witness must follow should a surgeon be called to give testimony.

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“…Iatrogenic injury to the facial nerve is arguably the most devastating complication of ear surgery (1,2). Some authors have found the incidence of facial nerve injury in primary otologic procedures to be as high as 1% and 4% to 10% in revision cases (1).…”

Section: Facial Nerve Injurymentioning

confidence: 99%

“…Some authors have found the incidence of facial nerve injury in primary otologic procedures to be as high as 1% and 4% to 10% in revision cases (1). As John House perfectly said, ''the best way to manage facial nerve injury is to avoid it.…”

Section: Facial Nerve Injurymentioning

confidence: 99%