[Surgical treatment of traumatic facial paralysis]

The paper reviews 27 cases of traumatic facial paralysis undergone surgical treatment. Most of the cases showed injuries to the horizontal and perigeniculate segments of the facial nerve. All cases have been followed up for 6 months to 2 years. Complete recovery occurred in 20 of the cases and partial recovery in 7 cases (II in 2, III in 5). Trans-mastoid/attic approach was used which yielded exposure of the geniculate ganglion and distal part of the labyrinthine segment of the nerve. Indications and surgical approach were discussed.