ELİF BAYSAL, Secaattin GÜLŞEN, İSMAİL AYTAÇ, Sercan ÇIKRIKÇI, Burhanettin GÖNÜLDAŞ, Cengiz DURUCU, LÜTFİ SEMİH MUMBUÇ, MUZAFFER KANLIKAMA

Surgical intervention for traumatic facial paralysis: an analysis of 15 patients

Amaç: Bu çalışmanın amacı fasiyal sinir dekompresyonu yapılan hastaları analiz etmektir. Yöntem:2005 Ocak - 2015 Ocak tarihleri arasında cerrahi geçiren15 hastanın verileri geriye dönük incelendi. Bütün hastalar yüksek rezolüsyonlu temporal tomografi, House-Brackmann derecelendirmesistemi, elektrodiagnostik testler elektromiyografi ya da elektronörografi) ile değerlendirilmiştir. Bulgular:Çalışmaya yaş ortalaması 20.56 (aralık: 2-59) yıl olan 8 kadın ve 7 erkek hasta katılmıştır. Hastaların tümüne transmastoid yolla fasiyal dekompresyon uygulanmıştır. Sonuç:Transmastoid yaklaşım fasiyal sinir birinci dirseği ve digastricridge arasında hasar olanlarda uygun olmaktadır. Postoperatif elektromiyografi bulgularındaki orbikularis okuli kasındaki amplitüd artışıklinik iyileşme öncesinde sinirdeki iyileşmenin anlamlı indikatörüolarak bulunmuştur

Travmatik fasiyal paraliziye yönelik cerrahi: 15 hastanın analizi

Objective:The aim of the present study was to analyze patients whounderwent facial nerve decompression. Methods:A retrospective data analysis was performed on 15 patientsoperated between January 2005 and January 2015. All patients wereevaluated with high-resolution temporal computed tomography,House-Brackmann grading system, and electrodiagnostic tools (electromyography or electroneurography). Results: There were 8 female and 7 male patients with a mean age of20.56 (range: 2 to 59) years. All of the patients underwent facial decompression surgery via a transmastoid approach. Conclusion:Transmastoid approach in patients with facial nerveinjuries within the first genu and the digastric ridge is appropriate,and the increase in the amplitude observed in the postoperative EMGrecords obtained from musculus orbicularis oculi may be consideredas significant indicator of nerve recovery that occurs before clinicalimprovement

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