Tympanic neurectomy: A review and an additional indication for this procedure

Abstract

Tympanic neurectomy has been performed on 13 patients. Four patients were treated for the Frey syndrome, four for parotitis, four for sialorrhea (bilateral tympanic neurectomy and unilateral chordatympaneurectomy in these patients), and one for aural pain. Twelve of 13 of these patients have good results from two to 23 months postoperatively. Two patients with cerebral palsy were treated successfully with bilateral tympanic neurectomy and unilateral chordatympaneurectomy. These are the first two patients reported to have undergone this procedure for cerebral palsy. Additional indications and a review of the subject is presented.

Management of chronic parotitis: a review

“…Analysing the results of tympanic neurectomy for chronic parotitis, by combining the outcome of all the reported series, reveals that resolution of symptoms occurs in 75 per cent of cases in the 'long term'. 19,20,[24][25][26][27][28] (Table III).…”

Treatment of Severe Keratoconjunctivitis Sicca by Parotid Duct Transposition after Tympanic Neurectomy in Rabbits

“…Since 1962, tympanic neurectomy has been successfully applied to reduce saliva secretion of the parotid gland in treating drooling, parotid fistula, Frey's syndrome, and chronic parotitis. [23][24][25][26] It is a relatively mature technique for the otolaryngologists without serious complications. 13 We hypothesized that gustatory epiphora with parotid duct transfer to treat KCS might be controlled by resecting the tympanic nerve.…”

Successful treatment of parotid fistula with tympanic neurectomy

“…It leaves the middle cranial fossa either through the foramen ovale or emissary sphenoidal foramnen [3] and joins the otic ganglion. Postganglionic fi bres leave the ganglion to join the auricotemporal nerve and thus get conducted to the parotid gland.…”