Management of Iatrogenic Facial Paralysis in Middle Ear Surgery
HAN Yuechen
XU Lei
CHEN Dong
FAN Zhaomin
WANG Haibo
Abstract：Objective To report authors’experiences with iatrogenic facial paralysis in middle ear surgery, and discus its causes, clinical characteristics, treatments and prevention. Methods From 1995 to 2014, 45 cases of iatrogenic facial pa-ralysis associated with middle ear surgery in our hospital were included in this retrospective study, of which 41 were referrals from other hospitals. All of these cases received revision surgery and the results of exploration were analyzed, including the po-sition, pathological injury degree, and outcomes of the facial nerve damage. Results Facial nerve paralysis were found during or immediately after surgery in 44 cases. The damages of the facial nerve located in the posterior portion of the tympanic seg-ment in 18 cases (40%). Based on evaluation of damage degree, decompression was performed in 23 cases, partial facial nerve graft in 11 cases, and interposition facial nerve graft in 11 cases. Forty four cases were followed up for more than one year, and facial nerve function in 32 cases was better than HB-III one year after surgery. Conclusions Itrogenic facial paralysis is one of the serious complications of middle ear surgery, which is always identified during or immediately after surgery. The results of facial function were satisfactory if the facial nerve is explored and treated correctly at an time.
Keywords：Iatrogenic facial paralysisMiddle ear surgery
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 426-428 )