title: Surgical management of facial paralysis resulting from temporal bone fractures.
abstract: CONCLUSIONS
  To achieve good facial reanimation in cases with facial paralysis resulting from temporal bone fractures, the ideal timing for surgical intervention is at least within 1 month of injury and an appropriate surgical approach should be selected depending on the site of facial nerve injury.
  
  
  OBJECTIVE
  This paper aimed to address the ideal time for surgical intervention and the appropriate surgical approach for patients with facial paralysis resulting from temporal bone fractures.
  
  
  METHODS
  We retrospectively investigated 60 patients with facial paralysis due to temporal bone fractures who underwent facial nerve decompression via different operative approaches within 1 month after trauma, of which 48 were surgically treated by the middle cranial fossa approach (80%), 8 by a pure transmastoid approach (13.3%), and four by a combined transmastoid and middle cranial fossa approach (6.7%). The House-Brackmann (H-B) grading system was used to evaluate the recovery of facial nerve function.
  
  
  RESULTS
  The follow-up period for all the patients was 1 year. Among 60 patients who were surgically treated, 39 achieved grade I of facial nerve function, 18 achieved grade II, two achieved grade III, and one achieved grade IV according to the H-B grading system.
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Shandong Provincial Hospital affiliated to Shandong University , Jinan , China.
authors.forename: Yiqing
authors.initials: Y
authors.lastname: Liu
authors.forename: Jie
authors.initials: J
authors.lastname: Han
authors.forename: Xuanchen
authors.initials: X
authors.lastname: Zhou
authors.forename: Kun
authors.initials: K
authors.lastname: Gao
authors.forename: Deheng
authors.initials: D
authors.lastname: Luan
authors.forename: Fengyang
authors.initials: F
authors.lastname: Xie
authors.forename: Xiaoting
authors.initials: X
authors.lastname: Wang
authors.forename: Guangxin
authors.initials: G
authors.lastname: Zong
authors.forename: Ling
authors.initials: L
authors.lastname: Ding
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D019299:Decompression, Surgical; D020220:Facial Nerve Injuries / Q000209:etiology / Q000601:surgery*; D005158:Facial Paralysis / Q000209:etiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012887:Skull Fractures / Q000150:complications* / Q000601:surgery; D013701:Temporal Bone / Q000293:injuries*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Surgical approach; facial nerve injury; middle cranial fossa approach; transmastoid approach