측두골 골절에서 안면신경 감압술과 동시에 이소골 성형술을 시행한 환자 1예

• 영문명: A case of patient who underwent ossicular reconstruction with facial nerve decompression after temporal bone fracture
• 발행기관: 대한두개저학회
• 저자명: 홍유정 전범조
• 간행물 정보: 『대한두개저학회지』제18권 제2호, 169~173쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2023.10.31

영문 초록

Skull fracture to the temporal bone is responsible for 5%-10% of facial paralysis. It happens because the facial nerve travels through a small bony channel where the nerve can get crushed either by a blow to the head, or the swelling afterwards. This can result in temporary or permanent damage to one or both of the facial nerves. In the case of facial paralysis caused by trauma, conservative treat-ment or surgical treatment can be considered depending on the time of onset and severity of facial paralysis. Conductive hearing loss due to temporal bone fracture could be observed because it is mainly caused by a middle ear hematoma. However, if the ossicle is disrupted by a fracture, it must be corrected surgically. Here we present a case in which surgical facial nerve decompression was per-formed on a patient with facial paralysis after trauma. After a 2.5 m fall, he developed left-sided facial paralysis of House-Brackmann grade IV. The facial nerve decompression with ossicular reconstruc-tion surgery was completed. Reporting this case, we want to discuss about the importance of ideal time for surgical intervention and the appropriate surgical approach for patients with facial paralysis with ossicular disruption after temporal bone fractures.

목차

INTRODUCTION

CASE REPORT

DISCUSSION

CONFLICT OF INTEREST

ORCID

REFERENCES

키워드

Facial paralysis Temporal bone Facial nerve injuries Decompression