지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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The facial nerve coursing through the temporal bone provides a challenge to the otologic
surgeon. Advances in surgical instrumentation and refinements of surgical strategies enable
the otologist to uncover the entire course of the facial nerve safely from brainstem to its exit from
temporal bone. The most common cause of facial nerve paralysis is Bell’s palsy, followed by
traumatic facial paralysis, herpes zoster oticus, and intratemporal tumous lesion. The surgical
approaches to the injured facial nerve depend on its causes. Acute, severe facial nerve paralysis
caused by viral infection or trauma can be managed by early use of transmastoid approach,
middle cranial approach, or combined approach. In case of intratemporal benign tumor with
favorable facial function, great care must be taken not to damage the facial nerve with nerve
preservation technique. However, in malignant tumor with favorable facial function, the priority
must be placed on the complete resection than to the facial nerve preservation. In consideration
of selecting surgical technique of facial nerve paralysis reconstruction, clinician must find out the
cause, degree and duration of paralysis for the appropriate technique.
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