Outcomes of ossicular disruption in traumatic facial paralysis: a case series.

Abstract:

BACKGROUND:As tympanotomy using the transcanal approach was a routine surgical technique for traumatic ossicular disruption, the efficacy of the posterior tympanum approach was rarely explored. AIM:This study aimed to investigate whether the hearing outcomes improved after simultaneous ossiculoplasty and facial nerve decompression using the posterior tympanum approach compared with the transcanal approach. MATERIAL AND METHODS:The data of 11 patients who underwent ossiculoplasty and facial nerve decompression using the posterior tympanum approach and 21 patients who underwent ossiculoplasty via transcannal approach were analyzed. RESULTS:The average air-bone gap (ABG) of patients undergoing posterior tympanotomy showed a statistically significant improvement. Postoperative ABG within 20 dB was observed in 81.8% of patients in the posterior tympanum group and 76.2% of patients in the transcanal group. However, the ABG closure in the two groups was not statistically different. CONCLUSIONS AND SIGNIFICANCE:Simultaneous ossiculoplasty using the posterior tympanum approach was practical, and the hearing outcomes were promising for the patients with traumatic facial nerve paralysis and ossicular disruption.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Yan X,Liu P,Ji C,Zhang M,Zhang X,Zhu F,Fu T

doi

10.1080/00016489.2020.1833081

subject

Has Abstract

pub_date

2020-11-05 00:00:00

pages

1-4

eissn

0001-6489

issn

1651-2251

pub_type

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