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측두골 골절 후 안면신경 마비의 수술적 치료

Other Titles
 Surgical Management of Facial Paralysis Following Temporal Bone Fractures 
Authors
 한수진  ;  이원상  ;  정명현  ;  김희남  ;  이호기 
Citation
 Korean Journal of Otolaryngology (대한이비인후과학회지), Vol.48(1) : 24-29, 2005 
Journal Title
Korean Journal of Otolaryngology(대한이비인후과학회지)
ISSN
 1225-035X 
Issue Date
2005
MeSH
Temporal bone fracture ; Facial nerve ; Facial paralysis
Keywords
Temporal bone fracture ; Facial nerve ; Facial paralysis
Abstract
Background and Objectives:Controversy persists in regard to the management of traumatic facial paralysis. We reviewed the cases of decompression of traumatic facial nerve according to the type of fracture, injury site of nerve, injured state of nerve, surgical timing, surgical approach and opening of epineurium to determine good prognostic factors and propose in this article a rationale of management.

Subjects and Method:The authors reviewed retrospectively 35 cases of the decompression of traumatic facial paralysis at the Department of Otorhinolaryngology, Yonsei University College of Medicine from January 1991 to December 2002.

Results:The most common site of the injury was perigeniculate area. The most common fracture type was longitudinal fracture. The results of immediate facial nerve decompression were excellent in functional recovery. The surgical findings of injured facial nerve were, in order, edematous swelling, bony impingement, fibrosis and partial transection, traumatic neuroma. Decompression with nerve sheath slitting appeared to provide better outcomes. The approach for decompression according to the injured sites was sufficiently adequate.

Conclusion:According to our surgical experiences of traumatic facial paralysis, the important prognostic factors are timing of surgical intervention, injured state of the nerve and the slitting of the nerve sheath.
Files in This Item:
T200500030.pdf Download
DOI
OAK-2005-02367
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Medical Education (의학교육학과) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hee Nam(김희남)
Lee, Won Sang(이원상)
Lee, Ho Ki(이호기)
Chung, Myung Hyun(정명현)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147289
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