Role of Facial N Decompression in Unresolved Bells Palsy: Surgical Outcome Pages 22-26

H. Vijayendra1, Anil Kumar Dash2, Sangeetha Ramdass3, V. Vinaya Kumar4 and Nilesh Mahajan5

1Vijaya ENT Care Centre, Superspeciality Otology Centre Affiliated to KLE University, Belgaum, Karnataka, India; 2Department of Otolaryngology & HNS, Kalinga Institute of Medical Science, KIIT University KIIT Campus-5, Patia, Bhubaneswar, India; 3Vijaya Ent Care Centre, Banglore, Karnataka, India; 4Department of Otolaryngology & HNS, Raja Rajeswari Medical College, Bangalore, Karnataka, India; 5Vijaya ENT Care Centre, Banglore, Karnataka, India

DOI: https://doi.org/10.12970/2308-7978.2017.05.05

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Abstract: Introduction: Incomplete return of facial motor function and synkinesis continue to be long-term sequelae in some patients with Bell’s palsy. No definitive management option is quoted in literature.
Objective: The aim of this research is to describe a prospective study in which a well-defined surgical decompression of the facial nerve was performed in a population of patients with Bell’s palsy who exhibit grade V and VI (House-Brackmann) after 3 weeks of conservative treatment.
Study Design and Methods: A prospective clinical study.
Results: Out of 24 patients 25 (96%) patients improved after facial nerve decompression performed in patients who didn’t recovered after conservative treatment of 3 weeks.
Conclusion: Surgical decompression distal to the geniculate ganglion significantly improves the chances of normal or near normal return of facial function.

Keywords: Surgical decompression, facial nerve, Bell’s palsy, House- Brackmann grading.
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