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Otologic Complications After Gasserian Ganglion Surgery

Otologic Complications After Gasserian Ganglion Surgery Abstract Twenty-one cases of gasserian neurectomy in 17 patients are reviewed. Symptoms related to the ear developed in 76% of the cases; 67% had definite otologic findings in the immediate postneurectomy period. These consisted of hemotympanum, 55%; ecchymosis of the ear canal, 7%; and retracted tympanic membrane, 4%. In the late postoperative period, 58% continued with ear symptoms and 33% demonstrated residual ear pathology consisting of retracted tympanic membrane with or without fluid in (24%) and hyperemia of the eustachian tube orifice (8%). The possible causes of the hemotympanum and malfunction of the eustachian tube are discussed. References 1. Brodal A: The Cranial Nerves , ed 2. Oxford, England, Blackwell Scientific Publications, 1967. 2. Spalteholz W: Atlas of Human Anatomy , ed 16. Philadelphia JB Lippincott Co, 1961. 3. Adson AW: Preservation of the motor root of the Gasserian ganglion during the division of the sensory root for trifacial neuralgia . Surg Gynec Obstet 35:352-355, 1922. 4. Kanavel AB, Davis LE: Surgical anatomy of the trigeminal nerve . Surg Gynec Obstet 34:357-366, 1922. 5. Gardner WJ, Babbitt JA: The occurrence of tympanic hemorrhage following the radical operation for the relief of trigeminal neuralgia . Ann Otol 38:1040-1051, 1929. 6. Ody FV: Hypoacousie transitoire après neurotomie rétrogasserienne . Chirurgie 5:535-540, 1943. 7. Stookey B, Ransohoff J: Trigeminal Neuralgia: Its History and Treatment . Springfield, Ill, Charles C Thomas Publisher, 1959. 8. Rich AR: Innervation of the tensor veli palatini and levator palatini muscles . Johns Hopkins Hosp Bull 31:305-310, 1920. 9. Holborow CA: Deafness associated with cleft palate . J Laryng 76:762-773, 1962.Crossref 10. Flisberg K: Ventilatory studies on the eustachian tube: A clinical investigation of cases with perforated ear drums . Acta Otolaryng , (suppl 219) , pp 1-82, 1966. 11. Kaufman RS: Hearing loss in children with cleft palates . NY J Med 70:2555-2558, 1970. 12. Graves GO, Edwards LF: The eustachian tube: Review of its descriptive microscopic, topographic and clinical anatomy . Arch Otolaryng 39:359-397, 1944.Crossref 13. Handl K: Sur Vegetativen Versorgung den Menschlichen Tube . Arch Ohr Nas Kehlkopfheilk 175:482-484, 1959.Crossref 14. Perlman HB: The eustachian tube: Abnormal patency and normal physiologic state . Arch Otolaryng 30:212-238, 1939.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Otologic Complications After Gasserian Ganglion Surgery

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References (15)

Publisher
American Medical Association
Copyright
Copyright © 1972 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1972.00770080673009
Publisher site
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Abstract

Abstract Twenty-one cases of gasserian neurectomy in 17 patients are reviewed. Symptoms related to the ear developed in 76% of the cases; 67% had definite otologic findings in the immediate postneurectomy period. These consisted of hemotympanum, 55%; ecchymosis of the ear canal, 7%; and retracted tympanic membrane, 4%. In the late postoperative period, 58% continued with ear symptoms and 33% demonstrated residual ear pathology consisting of retracted tympanic membrane with or without fluid in (24%) and hyperemia of the eustachian tube orifice (8%). The possible causes of the hemotympanum and malfunction of the eustachian tube are discussed. References 1. Brodal A: The Cranial Nerves , ed 2. Oxford, England, Blackwell Scientific Publications, 1967. 2. Spalteholz W: Atlas of Human Anatomy , ed 16. Philadelphia JB Lippincott Co, 1961. 3. Adson AW: Preservation of the motor root of the Gasserian ganglion during the division of the sensory root for trifacial neuralgia . Surg Gynec Obstet 35:352-355, 1922. 4. Kanavel AB, Davis LE: Surgical anatomy of the trigeminal nerve . Surg Gynec Obstet 34:357-366, 1922. 5. Gardner WJ, Babbitt JA: The occurrence of tympanic hemorrhage following the radical operation for the relief of trigeminal neuralgia . Ann Otol 38:1040-1051, 1929. 6. Ody FV: Hypoacousie transitoire après neurotomie rétrogasserienne . Chirurgie 5:535-540, 1943. 7. Stookey B, Ransohoff J: Trigeminal Neuralgia: Its History and Treatment . Springfield, Ill, Charles C Thomas Publisher, 1959. 8. Rich AR: Innervation of the tensor veli palatini and levator palatini muscles . Johns Hopkins Hosp Bull 31:305-310, 1920. 9. Holborow CA: Deafness associated with cleft palate . J Laryng 76:762-773, 1962.Crossref 10. Flisberg K: Ventilatory studies on the eustachian tube: A clinical investigation of cases with perforated ear drums . Acta Otolaryng , (suppl 219) , pp 1-82, 1966. 11. Kaufman RS: Hearing loss in children with cleft palates . NY J Med 70:2555-2558, 1970. 12. Graves GO, Edwards LF: The eustachian tube: Review of its descriptive microscopic, topographic and clinical anatomy . Arch Otolaryng 39:359-397, 1944.Crossref 13. Handl K: Sur Vegetativen Versorgung den Menschlichen Tube . Arch Ohr Nas Kehlkopfheilk 175:482-484, 1959.Crossref 14. Perlman HB: The eustachian tube: Abnormal patency and normal physiologic state . Arch Otolaryng 30:212-238, 1939.Crossref

Journal

Archives of Otolaryngology – American Medical Association

Published: May 1, 1972

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