Jove
Visualize
Contact Us

Related Experiment Videos

[Facial nerve decompression].

Ysgav Shapira1, Lela Migirov, Jona Kronenberg

  • 1Department of Otolaryngology, Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University.

Harefuah
|September 21, 2006
PubMed
Summary

Facial nerve decompression surgery can yield good results for facial palsy when the nerve is intact. Optimal outcomes may be seen with surgery over 30 days after complete palsy, with final results assessed after one year.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Correlation Between the Sleep-Position Habits and the Affected Posterior Semicircular Canal in Patients with Benign Paroxysmal Positional Vertigo.

The Israel Medical Association journal : IMAJ·2019
Same author

Trans-canal endoscopic ear surgery and canal wall-up tympano-mastoidectomy for pediatric middle ear cholesteatoma.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·2019
Same author

Traumatic Perforation of the Tympanic Membrane: A Review of 80 Cases.

The Journal of emergency medicine·2017
Same author

Nasal vestibulitis: etiology, risk factors, and clinical characteristics: A retrospective study of 118 cases.

Diagnostic microbiology and infectious disease·2017
Same author

Transcanal Endoscopic Ear Surgery for Middle Ear Cholesteatoma.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·2017
Same author

The admission patterns of octogenerians nonagenerians and centenarians to the Department of Otoloaryngology.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·2016
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Area of Science:

  • Neurosurgery
  • Otolaryngology
  • Facial Nerve Surgery

Context:

  • Facial nerve palsy (FNP) management typically involves conservative treatment, but surgical intervention is sometimes necessary.
  • Nerve decompression is the preferred surgical option when the facial nerve's continuity is preserved.
  • Limited literature specifically addresses surgical outcomes for FNP decompression, particularly differentiating approaches and timing.

Purpose:

  • To report the outcomes of 33 facial nerve decompression surgeries performed between 1985 and 2002.
  • To evaluate the effectiveness of different surgical approaches (middle cranial fossa, mastoidectomy, combined) for facial nerve decompression.
  • To analyze the impact of surgical timing (within vs. after 30 days of palsy onset) and follow-up duration on functional recovery.

Summary:

  • Thirty-three patients with facial nerve palsy underwent decompression surgery using middle cranial fossa, mastoidectomy, or combined approaches, primarily for temporal bone fractures.
  • Postoperative results, assessed by the House-Brackmann (HB) scale, indicated better outcomes for patients operated on more than 30 days after complete palsy.
  • Average HB score was 3.2, with final results best determined after one year, showing no significant advantage for early intervention.

Impact:

  • Facial nerve decompression is an effective surgical treatment for select cases of facial nerve palsy, achieving good functional recovery.
  • Surgical timing may influence outcomes, with delayed intervention potentially yielding better results.
  • Long-term follow-up (over 12 months) is crucial for accurately assessing the final functional status after facial nerve decompression.

Related Experiment Videos