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Date Published: 22/03/2024
Online Published: 25/03/2024
Abstract Views: 1110
Views PDF: 523
DOI: https://doi.org/10.60137/tmhvn.v69i63.89
Issue
Vol. 69 No. 63
Section
Articles
How to Cite
Tran, P. N., Le, C. T., Duong, M. D., Nguyen, Q. D., Phan, N. H., Le, V. T., & Nguyen, D. P. (2024). The result of treatment for post temporal bone fracture facial paralysis. Vietnam Journal of Otorhinolaryngology - Head and Neck Surgery, 69(63), 64-72. https://doi.org/10.60137/tmhvn.v69i63.89

The result of treatment for post temporal bone fracture facial paralysis

Phuong Nam Tran, Chi Thong Le1, , Manh Dat Duong, Quoc Dung Nguyen, Ngo Huy Phan, Viet Thanh Le, Duy Phu Nguyen
1 Bệnh viện Trung ương Huế

Main Article Content

Abstract

Objectives: This paper aim to evaluate the outcome of post temporal bone fracture facial paralysis treatment.


Material and methods: a total of 26 patients who had diagnosed post temporal bone fracture facial paralysis and treated at Hue Central hospital from 6/2020 to 10/2023. A prospective cohort study was conducted.


Results: Of the 26 cases, 65,4% were male. The main reason for trauma was traffic accidents. The mean age was 35,3. Longitudinal fractures were seen in 13 cases (50%), tranverse fracutures in 9 cases (34,6%), and mixed fractures in 4 cases (15,4%), 69,2% of the fracture impacted optic capsule. The result of topognostic Test was normal in most cases.  Facial paralysis was of immediate onset in 15/26 cases, most of the patients had severe dysfunction or total paralysis of facial nerve (House-Brackman grade V-VI). Conservation treatment was seen in 9/26 cases, 17 cases were treated with facial nerve depression. After 3 months of treatment, 76,9% patients recovered well (House-Brackman grade I-II).


Conclusion: Facial nerve decompresion is an effective method in patient with temporal bone fracture facial paralysis.

Article Details

Keywords

facial paralysis, temporal bone trauma, temporal bone fracture

References

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