Postoperative efficacy analysis of patients with facial nerve palsy associated with cholesteatoma otitis media: Our experience with 32 patients

Postoperative efficacy analysis of patients with facial nerve palsy associated with cholesteatoma... KeypointsPatients who underwent surgery within 4 weeks after facial palsy had better outcomes than those who had surgery later.The results of partial and near‐complete decompression were good, with no difference between the 2 methods.Even if the symptom duration of facial paralysis was >4 weeks, surgery still had an impact.Unlike in surgery for facial paralysis due to other causes, the integrity of the sheath membrane should be preserved.There is a lag in the electroneurography test results.INTRODUCTIONCholesteatoma, keratinizing stratified squamous epithelium found ectopically within the middle ear, is not an actual tumour. Gradual destruction of the bone is caused by a variety of mechanisms including enzymes, bone erosion, compression caused by oedema, and direct inflammation and infection of the nerve. Facial paralysis is a rare but recognised complication of cholesteatoma. In cases of cholesteatoma associated with facial paralysis, decompression with complete disease eradication is the main therapy.METHODSEthical considerationsThe study protocol was approved by the Institutional Review Board of the Affiliated Sixth People's Hospital of Shanghai Jiao Tong University.PatientsThirty‐two patients diagnosed with facial paralysis associated with cholesteatoma from January 2014 to April 2016 at the Department of ENT Head and Neck Surgery, the Affiliated Sixth People's Hospital, were included in this study. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Otolaryngology Wiley

Postoperative efficacy analysis of patients with facial nerve palsy associated with cholesteatoma otitis media: Our experience with 32 patients

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 John Wiley & Sons Ltd
ISSN
1749-4478
eISSN
1749-4486
D.O.I.
10.1111/coa.13035
Publisher site
See Article on Publisher Site

Abstract

KeypointsPatients who underwent surgery within 4 weeks after facial palsy had better outcomes than those who had surgery later.The results of partial and near‐complete decompression were good, with no difference between the 2 methods.Even if the symptom duration of facial paralysis was >4 weeks, surgery still had an impact.Unlike in surgery for facial paralysis due to other causes, the integrity of the sheath membrane should be preserved.There is a lag in the electroneurography test results.INTRODUCTIONCholesteatoma, keratinizing stratified squamous epithelium found ectopically within the middle ear, is not an actual tumour. Gradual destruction of the bone is caused by a variety of mechanisms including enzymes, bone erosion, compression caused by oedema, and direct inflammation and infection of the nerve. Facial paralysis is a rare but recognised complication of cholesteatoma. In cases of cholesteatoma associated with facial paralysis, decompression with complete disease eradication is the main therapy.METHODSEthical considerationsThe study protocol was approved by the Institutional Review Board of the Affiliated Sixth People's Hospital of Shanghai Jiao Tong University.PatientsThirty‐two patients diagnosed with facial paralysis associated with cholesteatoma from January 2014 to April 2016 at the Department of ENT Head and Neck Surgery, the Affiliated Sixth People's Hospital, were included in this study.

Journal

Clinical OtolaryngologyWiley

Published: Jan 1, 2018

References

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