Điều trị tổn thương thần kinh mặt do chất thương xương thái dương tại bệnh viện Tai Mũi Họng Trung ương từ 2010-2012

Objective: The goal of this study was to review decision factors and overall results regarding surgical and nonsurgical management of post-traumatic facial nerve paralysis due to temporal bone fracture. Subjects and research methods: prospective study were performed. Between Jan 2010 and Dec 2012, 62 cases of post-traumatic FP withi 63 facial paralysis side were handled. Patients were evaluated through clinical, audiologic, radiologic, and electromyogram assessment. Depending on examination results, patients were treated either medically or surgically through total facial nerve decompression Results: a medically treated patients experienced group 80,0 percent recovered normal (grade I-II), at one years after surgery, 78,9 percent had a grade I to III recovery. Conclusion: Treatment guidelines for conservation of late paralysis of the face, mild paralysis surgery indicated for patients with severe facial paralysis , sedden facial paralysis after an injury or medical therapy for 2 weeks of facial paralysis does not progress.