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POST MASTOIDECTOMY IATROGENIC FACIAL NERVE
PALSY – Injury Profile and Treatment Results
 DR MADAN GUPTA
 DR ALOK THAKAR
COHORT OF 6 CONSECUTIVE IATROGENIC FACIAL
NERVE PALSY PATIENTS REFERRED TOTREATED AT
OUR CENTRE ( ENT II)
2 YEAR DURATION
...
Face is a part of beauty!!!!!!!!
A perfectly beautiful face needed both symmetry and ‘averageness’!
Osaka University Japan...
patient Duration injury
To presentation
Onset of
paralysis
Improvement
since
H & B Grading
20/m 2 wk immediate No Vl
19/f ...
Evaluation by ENoG ,EMG and HRCT Temporal
bone
patient Duration
Injury to
presentation
grade Electrical Testing HRCT management
ENoG EMG labyrinthine Tympanic vertical
2...
patient Duration
Injury to
presentat
ion
grade
Electrical
Testing
HRCT managemen
t
Surgical
finding
extent procedure
ENoG
...
Conclusion
THANK YOU
Nes
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Transcript of "Nes"

  1. 1. POST MASTOIDECTOMY IATROGENIC FACIAL NERVE PALSY – Injury Profile and Treatment Results  DR MADAN GUPTA  DR ALOK THAKAR
  2. 2. COHORT OF 6 CONSECUTIVE IATROGENIC FACIAL NERVE PALSY PATIENTS REFERRED TOTREATED AT OUR CENTRE ( ENT II) 2 YEAR DURATION 2010-2011  DR MADAN GUPTA  DR ALOK THAKAR
  3. 3. Face is a part of beauty!!!!!!!! A perfectly beautiful face needed both symmetry and ‘averageness’! Osaka University Japan 2009 “Losing face is as important to people as losing bark is to a tree” Chinese Proverb Specific Impairment of Smiling Increases the Severity of Depressive Symptoms in Patients with Facial Neuromuscular Disorders ! JessieM.VanSwearingenet al Aestheticplasticsurgery vol 23 no 6
  4. 4. patient Duration injury To presentation Onset of paralysis Improvement since H & B Grading 20/m 2 wk immediate No Vl 19/f 1 wk immediate No Vl 25/m 6 month immediate No Vl 13/f 2 month immediate No Vl 45/f 1 wk immediate NO Vl 32/m 2wk immediate yes V
  5. 5. Evaluation by ENoG ,EMG and HRCT Temporal bone
  6. 6. patient Duration Injury to presentation grade Electrical Testing HRCT management ENoG EMG labyrinthine Tympanic vertical 20/m 2 wk Vl NR silent N x N surgical 19/f 1 wk Vl NR silent N x N surgical 25/m 6 month Vl NR silent N X N surgical 13/f 2 month Vl NR silent X X N surgical 45/f 1 wk Vl NR silent N X N surgical 32/m 2wk V Reduced CMAP N X N medical
  7. 7. patient Duration Injury to presentat ion grade Electrical Testing HRCT managemen t Surgical finding extent procedure ENoG EMG labyrinthine Tympanic vertical 20/m 2 wk Vl NR silent N x N surgical As per radiology <50% thickness decompressi on 19/f 1 wk Vl silent N x N surgical As per radiology Full thickness Greater auricular cable graft 25/m 6 month Vl NR silent N X N surgical As per radiology Full thickness Greater auricular cable graft 13/f 2 month Vl NR silent X X N surgical As per radiology Full thickness Xll-Vll anastomosis 45/f 1 wk Vl NR silent N X N surgical As per radiology >50% thickness End to end anastomosis 32/m 2wk V Re duc ed CM AP N X N medical
  8. 8. Conclusion
  9. 9. THANK YOU
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