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IMPROVED PRESERVATION OF FACIAL NERVE IN TRANSTEMPORAL APPROACHES TO THE SKULL BASE.
A Ravikumar1, H S Gill2, H S Bhatoe3
1Classified Specialist (ENT), Military Hospital, Shillong.
Medical Journal, Armed Forces India
|August 10, 2017
Summary
Intraoperative facial nerve monitoring significantly reduces the severity and duration of facial palsy following lateral skull base surgery. This technique aids in predicting facial nerve recovery, improving patient outcomes in complex skull base operations.
Area of Science:
- Neurosurgery
- Otorhinolaryngology
- Skull Base Surgery
Background:
- Skull base surgery has advanced significantly over the last century.
- Combined neurosurgical and otorhinolaryngological approaches improve outcomes for skull base lesions.
- Facial palsy is a common morbidity in lateral skull base surgery.
Purpose of the Study:
- To evaluate the efficacy of intraoperative facial nerve monitoring in reducing facial palsy after lateral skull base surgery.
- To compare outcomes between patients operated with and without facial nerve monitoring.
Main Methods:
- A comparative study involving 10 patients undergoing lateral skull base surgery.
- Five patients underwent surgery without intraoperative facial nerve monitoring.
- Five patients underwent surgery with intraoperative facial nerve monitoring.
Main Results:
- Intraoperative facial nerve monitoring proved effective in reducing facial palsy.
- The monitoring tool helped predict the recovery of temporary facial paralysis.
- Patients with monitoring experienced less severe and shorter-duration facial palsy.
Conclusions:
- Intraoperative facial nerve monitoring is a valuable tool in lateral skull base surgery.
- This technique enhances patient safety and improves functional outcomes.
- The study highlights the importance of nerve monitoring in minimizing surgical morbidity.
