Advertisement

Management of Intratemporal Facial Palsy

  • U. Fisch
Part of the Advances and Technical Standards in Neurosurgery book series (NEUROSURGERY, volume 7)

Abstract

A lesion of the facial nerve producing facial palsy most commonly occurs in its intratemporal course. The recent progress of microsurgery of the temporal bone (Fisch 1973, 1976) has permitted the safe approach to the facial nerve from the internal auditory meatus to the stylomastoid foramen. Today nearly all intratemporal facial nerve lesions are accessible to surgical repair. Knowledge of this possibility is of the utmost importance to surgeons involved with the diagnosis and treatment of facial paralysis because restoration of continuity of the facial nerve should be preferred to any type of substitution operation whenever possible.

Keywords

Facial Nerve Facial Palsy Facial Movement Facial Paralysis Geniculate Ganglion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Fisch, U., 1973: Operations on the facial nerve in its labyrinthine and meatal course. In: Surgery of the facial nerve, pp.175–205 (Miehlke, A., ed.). Münehen-Berlin-Wien: Urban und Sehwarzenberg.Google Scholar
  2. 2.
    Fisch, U., 1976: Chirurgie im inneren Gehörgang und an benachbarten Strukturen. In: Kopf-und Halschirurgie, Bd. 3: Ohrregion, pp. 457–544 (Naumann, H. H., ed.). Stuttgart: Thieme.Google Scholar
  3. 3.
    Laumans, E.P.J., Jongkees, L.B.W., 1963: On the prognosis of peripheral facial paralysis of endotemporal origin. Ann. Otol. (St. Louis) 72, 307–319.Google Scholar
  4. 4.
    May, M., 1977: Maximal excitability test. In: Facial nerve surgery (Fisch, U., ed.). Birmingham, Alabama: Kugler/Aesculapius Publ. Co.Google Scholar
  5. 5.
    Esslen, E., 1977: The acute facial palsies. Berlin-Heidelberg-New York: Springer.Google Scholar
  6. 6.
    Fisch, U., 1977: Total facial nerve decompression and electroneuronography. In: Neurological surgery of the ear, pp.21–33 (Silverstein, H., Norrell, H., eds.). Birmingham, Alabama: Aesculapius Publ. Co.Google Scholar
  7. 7.
    Fisch, U., 1977: Diagnostic studies on idiopathic facial palsy. In: Proc. Shambaugh 5th International Workshop on Middle Ear Microsurgery and Fluctuant Hearing Loss, pp.219–224 (Shambaugh, G.E., Shea, J. J., eds.). Huntsville, Alabama: The Strode Publ. Inc.Google Scholar
  8. 8.
    Fisch, U., 1977: Lacrimation. In: Proc. 3rd. Internat. Symposium Facial Nerve Surgery, pp. 147 (Fisch, U., ed.). Birmingham, Alabama: Aesculapius Publ. Co.Google Scholar
  9. 9.
    Fisch, U., 1974: Facial paralysis in fractures of the petrous bone. Laryngoscope 84, 2141–2154.PubMedCrossRefGoogle Scholar
  10. 10.
    Fisch, U., 1974: Facial nerve grafting. Otolaryng. Clin. N. Amer. 7, 517–529.Google Scholar
  11. 11.
    Miehlke, A., 1973: Surgery of the facial nerve. München-Berlin-Wien: Urban und Schwarzenberg.Google Scholar
  12. 12.
    Adour, K.K., 1976: Cranial polyneuritic and Bell’s palsy. Arch. Otolaryng. 102, 262–264.PubMedGoogle Scholar
  13. 13.
    Djupesland, G., Berdal, P., Johanssen, T.A., 1976: Viral infection as a cause of acute peripheral facial palsy. Arch. Otolaryng. 102, 403–405.PubMedGoogle Scholar
  14. 14.
    Fisch, U., 1979: Surgery for Bell’s palsy. Proc. 2nd Internat. Symposium on neurolog. Surgery of the ear. Sarasota.Google Scholar
  15. 15.
    Fisch, U., Esslen, E., 1972: Total intratemporal exposure of the facial nerve. Arch. Otolaryng. 95, 335–341.PubMedGoogle Scholar
  16. 16.
    Hof, E., 1977: Facial palsy of infectious origin in children. In: Facial nerve surgery, pp.414–418 (Fisch, U., ed.). Birmingham, Alabama: Aesculapius Publ. Co.Google Scholar
  17. 17.
    Fisch, U., Esslen, E., 1972: Surgical treatment of facial hyperkinesis. Arch. Otolaryng. 95, 400–408.PubMedGoogle Scholar
  18. 18.
    Fisch, U., Rüttner, J., 1977: Pathology of intratemporal tumors involving the facial nerve. In: Facial nerve surgery, pp. 448–456 (Fisch, U., ed.). Birmingham, Alabama: Aesculapius Publ. Co.Google Scholar
  19. 19.
    Fisch, U., Nedzelski, J., Wellauer, J., 1975: Diagnostic value of meatocisternography. Arch. Otolaryng. 101, 339–343.PubMedGoogle Scholar
  20. 20.
    Fisch, U., 1978: Infratemporal fossa approach to tumors of the temporal bone and base of the skull. J. Laryngol. Otol. 92, 949–967.PubMedCrossRefGoogle Scholar
  21. 21.
    Fisch, U., Pillsbury, H.C., 1979: Infratemporal fossa approach to lesions in the temporal bone and base of the skull. Arch. Otolaryng. 105, 99–107.PubMedGoogle Scholar
  22. 22.
    Fisch, U., 1976: Cross-face grafting in facial paralysis. Arch. Otolaryng. 102, 453–457.PubMedGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1980

Authors and Affiliations

  • U. Fisch
    • 1
  1. 1.Department of OtorhinolaryngologyUniversity HospitalZurichSwitzerland

Personalised recommendations