[Facial paralysis in temporal bone trauma].
OBJECTIVE
To study the cause and treatment of facial paralysis in temporal bone trauma.


METHODS
A retrospective review of 28 patients with facial paralysis resulting from temporal bone trauma was conducted, House-Brackmann(H-B) system was used to evaluate the recovery of facial nerve function, U test was employed for statistic analysis.


RESULTS
Twenty-six cases underwent following up facial nerve function of all patients was recovery partly after surgery, 46% cases reached H-B II, 84% cases reached H-B III, comparing facial nerve decompression within 4 months of injury to beyond 4 months of injury, recovery to H-B II or more of facial nerve function was 60% and 0%, respectively. The difference was significant(P < 0.05).


CONCLUSIONS
Surgery decompression is effective on facial nerve palsy caused by temporal bone trauma. It is recommended that surgery decompression be carried out as soon as possible since a better prognosis is obtained if it is performed within four months after injury.
Huang
X
X
Department of Otorhinolaryngology, Eye Ear Nose and Throat Hospital, Medical Center of Fudan University, Shanghai 200031, China. huangxinsh@online.sh.cn
Dai
C
C
Wang
Z
Z
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D019299:Decompression, Surgical / Q000379:methods; D005154:Facial Nerve / Q000503:physiopathology / Q000601:surgery*; D005158:Facial Paralysis / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012887:Skull Fractures / Q000150:complications*; D013701:Temporal Bone / Q000293:injuries*