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dc.contributor.authorUlug, T
dc.contributor.authorUlubil, SA
dc.date.accessioned2021-03-05T07:08:14Z
dc.date.available2021-03-05T07:08:14Z
dc.date.issued2005
dc.identifier.citationUlug T., Ulubil S., "Bilateral traumatic facial paralysis associated with unilateral abducens palsy: a case report", JOURNAL OF LARYNGOLOGY AND OTOLOGY, cilt.119, ss.144-147, 2005
dc.identifier.issn0022-2151
dc.identifier.othervv_1032021
dc.identifier.otherav_9233e47c-1997-4f56-8040-34efd7cd086f
dc.identifier.urihttp://hdl.handle.net/20.500.12627/98619
dc.identifier.urihttps://doi.org/10.1258/0022215053419907
dc.description.abstractBilateral traumatic facial paralysis is a very rare clinical condition. Abducens palsy, associated with bilateral traumatic paralysis, is even rarer and has not been well described in the literature. In this report, a 24-year-old male, who developed immediate bilateral facial and right abducens paralyses following a motor vehicle accident, is presented. The patient was referred for neurotologic evaluation 22 days after the injury. Electroneurography (ENoG) demonstrated 100 per cent degeneration at the first examination and, correspondingly, electromyography showed no regeneration potentials. Using high-resolution computed tomography (HRCT), a longitudinal fracture on the right and a mixed-type fracture on the left were identified. The patient had good cochlear reserve on both sides. The decision for surgery was based not on ENoG, because of the delayed referral of the patient, but on the HRCT, which showed clear fracture lines on both sides. The middle cranial fossa approach for decompression of the right facial nerve was performed on the 55th day following the trauma, and a combined procedure using the middle cranial fossa and transmastoid approaches was applied for decompression of the left facial nerve on the 75th day following the trauma. On the right, there was dense fibrosis surrounding the geniculate ganglion and the proximal tympanic segment whereas, on the left, bone fragments impinging on the geniculate ganglion, dense fibrosis surrounding the geniculate ganglion, and a less extensive fibrotic tissue surrounding the pyramidal segment were encountered. There were no complications or hearing deterioration. At the one-year follow up, the patient had House-Brackmann (HB) grade 1 recovery on the right, and HB grade 2 recovery on the left side, and the abducens palsy regressed spontaneously. The middle cranial fossa approach and its combinations can be performed safely in bilateral temporal bone fractures as labyrinthine sparing procedures if done on separate occasions.
dc.language.isoeng
dc.subjectKulak Burun Boğaz
dc.subjectCerrahi Tıp Bilimleri
dc.subjectSağlık Bilimleri
dc.subjectTıp
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectKULAK BURUN BOĞAZ
dc.titleBilateral traumatic facial paralysis associated with unilateral abducens palsy: a case report
dc.typeMakale
dc.relation.journalJOURNAL OF LARYNGOLOGY AND OTOLOGY
dc.contributor.department, ,
dc.identifier.volume119
dc.identifier.issue2
dc.identifier.startpage144
dc.identifier.endpage147
dc.contributor.firstauthorID174324


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