Role of Facial N Decompression in Unresolved Bells Palsy: Surgical Outcome 

Authors

  • H. Vijayendra1 Vijaya ENT Care Centre, Superspeciality Otology Centre Affiliated to KLE University, Belgaum, Karnataka, India
  • Anil Kumar Dash Department of Otolaryngology & HNS, Kalinga Institute of Medical Science, KIIT University KIIT Campus-5, Patia, Bhubaneswar, India
  • Sangeetha Ramdass Vijaya Ent Care Centre, Banglore, Karnataka, India
  • V. Vinaya Kumar Department of Otolaryngology & HNS, Raja Rajeswari Medical College, Bangalore, Karnataka, Indi
  • Nilesh Mahajan Vijaya ENT Care Centre, Banglore, Karnataka, India

DOI:

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

Keywords:

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

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. 

References


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Published

2017-01-09

Issue

Vol. 5 (2017)

Section

Articles