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Facial Nerve Decompression

Facial Nerve Decompression

Facial Nerve Decompression

  • The Facial Nerve Decompression is usually perfomed on patients suffering from permanent facial palsy which makes their faced brood down.
  • Pressure on peripheral nerve which results in nerve impulse block and compression of facial nerve into the bony canal of temporal bone causes facial nerve decompression.
  • The procedure is carried out to give a more symmetrical appearance to a patient’s face.
  • This surgery might also help in reducing the symptom of the paralysis as the compression is released from the nerve.

Causes of Facial Nerve Decompression

  • Otitis Media (ear infection)
  • Tumor
  • Bell’s Palsy
  • Birth Injury
  • Herpes Zoster Oticus
  • Skull Fracture
  • Facial Injury
  • Parotid Swelling
  • Melkersson-Rosenthal Syndrome

Who carries out the surgery?

  • ENT surgeon carries out the Facial Nerve Decompression surgery as it is performed through the mastoid bone which is part of the ear.
  • The surgeon removes the pieces of the mastoid bone to release the pressure from the facial nerve, giving it space to decompress.

What is the procedure?

  • In order to decompress a facial nerve a surgery would be conducted after examining a patient thoroughly.
  • During the procedure, an incision will be made through a drill parallel to the compressed nerve.
  • The doctors, then, will remove the bone around the compressed nerve with diamond burrs.
  • This will result in relaxation of stress on the facial nerve.
  • The final layer of the compressed bone will also be removed with the use of a hook or fisch nerve dissectors.

Difficulties face by the Patient

  • Like any other surgery, the facial nerve decompression also has few risks which a patient may face like hear loss, facial nerve injury, headache or meningitis.





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