Surgical Intervention in Traumatic Facial Nerve Paralysis

Thiam Long Yeoh, R. Mahmud, L. Saim

    Research output: Contribution to journalArticle

    9 Citations (Scopus)

    Abstract

    A four years review from June 1998 to June 2002 of traumatic facial nerve paralysis from temporal bone fractures that required surgical intervention is presented. The aim of this clinical presentation was to determine the current pattern of cases with traumatic facial paralysis which required surgical intervention at our center. There were six cases, of which four (66%) were longitudinal fractures, one each (17%) had transverse fracture and fracture over the lateral wall of mastoid. Hearing loss (83%) was the commonest associated clinical symptom. All cases underwent decompression via the transmastoid surgical approach. Intraoperative findings revealed oedema of facial nerve involving vertical segment and horizontal segment in three cases each respectively. Two cases had concomitant bony impingement. The facial nerve functions in four cases (66%) and one case recovered to House Brackmann grade 2 and 4, 12 months and 3 months respectively postsurgery. The case with transverse fracture remained as House Brackmann grade 5 after two years.

    Original languageEnglish
    Pages (from-to)432-436
    Number of pages5
    JournalMedical Journal of Malaysia
    Volume58
    Issue number3
    Publication statusPublished - Aug 2003

    Fingerprint

    Facial Paralysis
    Facial Nerve
    Mastoid
    Temporal Bone
    Bone Fractures
    Decompression
    Hearing Loss
    Edema

    Keywords

    • Facial nerve paralysis
    • Surgical intervention
    • Temporal bone fracture

    ASJC Scopus subject areas

    • Medicine(all)

    Cite this

    Yeoh, T. L., Mahmud, R., & Saim, L. (2003). Surgical Intervention in Traumatic Facial Nerve Paralysis. Medical Journal of Malaysia, 58(3), 432-436.

    Surgical Intervention in Traumatic Facial Nerve Paralysis. / Yeoh, Thiam Long; Mahmud, R.; Saim, L.

    In: Medical Journal of Malaysia, Vol. 58, No. 3, 08.2003, p. 432-436.

    Research output: Contribution to journalArticle

    Yeoh, TL, Mahmud, R & Saim, L 2003, 'Surgical Intervention in Traumatic Facial Nerve Paralysis', Medical Journal of Malaysia, vol. 58, no. 3, pp. 432-436.
    Yeoh, Thiam Long ; Mahmud, R. ; Saim, L. / Surgical Intervention in Traumatic Facial Nerve Paralysis. In: Medical Journal of Malaysia. 2003 ; Vol. 58, No. 3. pp. 432-436.
    @article{bc859bd306684f079089a3aec35da785,
    title = "Surgical Intervention in Traumatic Facial Nerve Paralysis",
    abstract = "A four years review from June 1998 to June 2002 of traumatic facial nerve paralysis from temporal bone fractures that required surgical intervention is presented. The aim of this clinical presentation was to determine the current pattern of cases with traumatic facial paralysis which required surgical intervention at our center. There were six cases, of which four (66{\%}) were longitudinal fractures, one each (17{\%}) had transverse fracture and fracture over the lateral wall of mastoid. Hearing loss (83{\%}) was the commonest associated clinical symptom. All cases underwent decompression via the transmastoid surgical approach. Intraoperative findings revealed oedema of facial nerve involving vertical segment and horizontal segment in three cases each respectively. Two cases had concomitant bony impingement. The facial nerve functions in four cases (66{\%}) and one case recovered to House Brackmann grade 2 and 4, 12 months and 3 months respectively postsurgery. The case with transverse fracture remained as House Brackmann grade 5 after two years.",
    keywords = "Facial nerve paralysis, Surgical intervention, Temporal bone fracture",
    author = "Yeoh, {Thiam Long} and R. Mahmud and L. Saim",
    year = "2003",
    month = "8",
    language = "English",
    volume = "58",
    pages = "432--436",
    journal = "Medical Journal of Malaysia",
    issn = "0300-5283",
    publisher = "Malaysian Medical Association",
    number = "3",

    }

    TY - JOUR

    T1 - Surgical Intervention in Traumatic Facial Nerve Paralysis

    AU - Yeoh, Thiam Long

    AU - Mahmud, R.

    AU - Saim, L.

    PY - 2003/8

    Y1 - 2003/8

    N2 - A four years review from June 1998 to June 2002 of traumatic facial nerve paralysis from temporal bone fractures that required surgical intervention is presented. The aim of this clinical presentation was to determine the current pattern of cases with traumatic facial paralysis which required surgical intervention at our center. There were six cases, of which four (66%) were longitudinal fractures, one each (17%) had transverse fracture and fracture over the lateral wall of mastoid. Hearing loss (83%) was the commonest associated clinical symptom. All cases underwent decompression via the transmastoid surgical approach. Intraoperative findings revealed oedema of facial nerve involving vertical segment and horizontal segment in three cases each respectively. Two cases had concomitant bony impingement. The facial nerve functions in four cases (66%) and one case recovered to House Brackmann grade 2 and 4, 12 months and 3 months respectively postsurgery. The case with transverse fracture remained as House Brackmann grade 5 after two years.

    AB - A four years review from June 1998 to June 2002 of traumatic facial nerve paralysis from temporal bone fractures that required surgical intervention is presented. The aim of this clinical presentation was to determine the current pattern of cases with traumatic facial paralysis which required surgical intervention at our center. There were six cases, of which four (66%) were longitudinal fractures, one each (17%) had transverse fracture and fracture over the lateral wall of mastoid. Hearing loss (83%) was the commonest associated clinical symptom. All cases underwent decompression via the transmastoid surgical approach. Intraoperative findings revealed oedema of facial nerve involving vertical segment and horizontal segment in three cases each respectively. Two cases had concomitant bony impingement. The facial nerve functions in four cases (66%) and one case recovered to House Brackmann grade 2 and 4, 12 months and 3 months respectively postsurgery. The case with transverse fracture remained as House Brackmann grade 5 after two years.

    KW - Facial nerve paralysis

    KW - Surgical intervention

    KW - Temporal bone fracture

    UR - http://www.scopus.com/inward/record.url?scp=0242300059&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=0242300059&partnerID=8YFLogxK

    M3 - Article

    C2 - 14750385

    AN - SCOPUS:0242300059

    VL - 58

    SP - 432

    EP - 436

    JO - Medical Journal of Malaysia

    JF - Medical Journal of Malaysia

    SN - 0300-5283

    IS - 3

    ER -