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A case of patient who underwent ossicular reconstruction with facial nerve decompression after temporal bone fracture
J Korean Skull Base Soc 2023;18(2):169-173
Published online October 31, 2023
© 2023 Korean Skull Base Society.

Yujeong Hong, Beom Cho Jun

Department of Otolaryngology-Head and Neck Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence to: Beom Cho Jun
E-mail otojun@catholic.ac.kr
ORCID https://orcid.org/0000-0002-0472-5135
Received July 27, 2023; Revised August 30, 2023; Accepted August 31, 2023.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Skull fracture to the temporal bone is responsible for 5%–10% of facial paralysis. It happens because the facial nerve travels through a small bony channel where the nerve can get crushed either by a blow to the head, or the swelling afterwards. This can result in temporary or permanent damage to one or both of the facial nerves. In the case of facial paralysis caused by trauma, conservative treatment or surgical treatment can be considered depending on the time of onset and severity of facial paralysis. Conductive hearing loss due to temporal bone fracture could be observed because it is mainly caused by a middle ear hematoma. However, if the ossicle is disrupted by a fracture, it must be corrected surgically. Here we present a case in which surgical facial nerve decompression was performed on a patient with facial paralysis after trauma. After a 2.5 m fall, he developed left-sided facial paralysis of House–Brackmann grade IV. The facial nerve decompression with ossicular reconstruction surgery was completed. Reporting this case, we want to discuss about the importance of ideal time for surgical intervention and the appropriate surgical approach for patients with facial paralysis with ossicular disruption after temporal bone fractures.
Keywords : Facial paralysis, Temporal bone, Facial nerve injuries, Decompression


October 2023, 18 (2)
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