Management of facial paralysis in temporal bone fractures: a prospective study analyzing 11 operated fractures

Ulug, Tuncay; Ulubil, Safter Arif

doi:10.1016/j.amjoto.2005.01.004

Cited by 83 publications

(79 citation statements)

References 22 publications

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“…Facial nerve surgery is indicated in the event of a combination of clinical findings (immediate complete FP), tomodensitometric findings (facial canal injury), and electrophysiological factors (denervation greater than 90%). If one or two factors are missing, the surgical decision should be discussed [22,[24][25][26][27][28]. In our study, the 3 patients with facial decompression were found to have grade II one year after injury.…”

Section: 4mentioning

confidence: 93%

Temporal bone fractures: sequelae and their impact on quality of life

Montava¹,

Mancini²,

Masson³

et al. 2015

American Journal of Otolaryngology

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Section: 4mentioning

confidence: 93%

Temporal bone fractures: sequelae and their impact on quality of life

Montava¹,

Mancini²,

Masson³

et al. 2015

American Journal of Otolaryngology

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“…5 Ulug et al they studied 10 patients with 11 temporal bone fracture resulting in facial paralysis (Table 8). 6 Mafee et al studied 32 cases of mixed and sensorineural hearing loss where HRCT proved valuable in detecting otosclerosis, foci of demineralization, and change in bony structure. 7 Present study includes 2 cases of mixed hearing loss in which HRCT shows radiolucent foci involving anterior margin of oval window and spreading to oval window ( Table 9).…”

Section: Resultsmentioning

confidence: 99%

Correlation of HRCT mastoid with clinical presentation and operative findings in ear diseases

Chintale¹,

Kirdak²,

Jatale³

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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INTRODUCTIONThe human temporal bone has an extremely complex structure. Direct axial and coronal CT sections are quite satisfactory for imaging the anatomy of the temporal bone but most of the normal and pathological details of the temporal bone are better visualized with direct sagittal CT sections. The sagittal projection is of interest for surgeons, as it has the advantage of following the plane of surgical approach. HRCT is found to be extremely useful for evaluating the diseases involving the external auditory canal, middle ear cavity, vertical segment of facial nerve canal, vestibular aqueduct, tegmen tympani, sigmoid sinus plate, sinodural angle, carotid canal, jugular fossa, infra and supralabrynthine air cells and temporomandibular joint. HRCT has contributed greatly to an understanding of the complex anatomy and spatial relationship of the minute structures of hearing and balance organs, which are packed into a small pyramidshaped petrous temporal bone. HRCT shows not only soft tissue extension but also gives a more sensitive demonstration of calcification. It has also become useful ABSTRACT Background: HRCT is found to be extremely useful for evaluating the ear diseases involving the external auditory canal, middle ear cavity, vertical segment of facial nerve canal, vestibular aqueduct, tegmen tympani, sigmoid sinus plate, sinodural angle, carotid canal, jugular fossa, infra and supralabrynthine air cells and temporomandibular joint. Our main objective was to correlate the clinical presentation and operative findings of ear diseases with HRCT mastoid. Methods: This study is done in our institute otorhinolaryngology dept. from April 2014 to April 2016. This is prospective study involves 36 patient belonging to different age and sex groups with high suspicious of ear diseases. We have taken detail history of each patient with complete ear nose throat examination done and after that all patient were investigated with routine blood investigation, X-ray and HRCT mastoid to correlate clinical finding and subjected for operation to compare operative findings with HRCT finding. Results: Determined using Pearson chi square test indicated a statistically significant correlation between HRCT temporal bone with clinical presentation and operative findings of ear diseases (p<0.05). Conclusions: With the advent of modern high-resolution CT scanners, detailed demonstration of temporal bone anatomy is practically possible now. We have been able to identify many significant structures not demonstrated by any of the known imaging modalities. The improved contrast and soft tissue a definition possible with HRCT has resulted in production of excellent images of soft tissue lesions in air spaces. Hence HRCT appears to be the diagnostic modality of choice for cholesteatomas and other soft tissue lesions in middle ear.

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“…The onset of the paralysis in regard to the timing of the trauma and the degree of the paralysis are the two most important prognostic criteria in cases with facial nerve injuries [3]. Surgical exploration should be performed as soon as possible in cases of complete paralysis of immediate onset since long delays increase the chance of traumatic neuroma and a more profound scarring around the facial nerve.…”

Section: Discussionmentioning

confidence: 99%