Combined microscope–endoscopy resection of petrous bone cholesteatoma with temporary facial nerve transposition versus nontransposition

Purpose The narrow supralabyrinthine space affects surgical procedures. To study the effect of temporary transposition of geniculate ganglion of facial nerve versus nontransposition on lesion recurrence and facial nerve function in patients with petrous bone cholesteatoma. Methods A total of 18 pati...

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Veröffentlicht in:European archives of oto-rhino-laryngology 2024-06, Vol.281 (6), p.2905-2912
Hauptverfasser: Mei, Honglin, Lu, Xiaoling, Dong, Chunguang, Lin, Hailiang, Chen, Bing, Li, Huawei, Ni, Yusu
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container_end_page 2912
container_issue 6
container_start_page 2905
container_title European archives of oto-rhino-laryngology
container_volume 281
creator Mei, Honglin
Lu, Xiaoling
Dong, Chunguang
Lin, Hailiang
Chen, Bing
Li, Huawei
Ni, Yusu
description Purpose The narrow supralabyrinthine space affects surgical procedures. To study the effect of temporary transposition of geniculate ganglion of facial nerve versus nontransposition on lesion recurrence and facial nerve function in patients with petrous bone cholesteatoma. Methods A total of 18 patients with petrous bone cholesteatoma involving the facial nerve were treated in our hospital from November 2016 to March 2023. The main surgical method is the extended supralabyrinthine approach assisted by a microscope and an endoscope. We collected and retrospectively analyzed their medical records. Results Temporary facial nerve transposition was performed in five patients, and nontransposition was performed in 13 patients. Cholesteatoma recurred in three patients with facial nerve nontransposition, whereas none in patients with facial nerve transposition. In this study, except for one case with a second operation, postoperative facial paralysis in other cases was improved to varying degrees, and there was no significant difference between the two groups. Conclusion Temporary transposition of geniculate ganglion of facial nerve will not affect the postoperative nerve function of patients and can reduce the possibility of cholesteatoma recurrence of the petrous bone.
doi_str_mv 10.1007/s00405-023-08397-9
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To study the effect of temporary transposition of geniculate ganglion of facial nerve versus nontransposition on lesion recurrence and facial nerve function in patients with petrous bone cholesteatoma. Methods A total of 18 patients with petrous bone cholesteatoma involving the facial nerve were treated in our hospital from November 2016 to March 2023. The main surgical method is the extended supralabyrinthine approach assisted by a microscope and an endoscope. We collected and retrospectively analyzed their medical records. Results Temporary facial nerve transposition was performed in five patients, and nontransposition was performed in 13 patients. Cholesteatoma recurred in three patients with facial nerve nontransposition, whereas none in patients with facial nerve transposition. In this study, except for one case with a second operation, postoperative facial paralysis in other cases was improved to varying degrees, and there was no significant difference between the two groups. Conclusion Temporary transposition of geniculate ganglion of facial nerve will not affect the postoperative nerve function of patients and can reduce the possibility of cholesteatoma recurrence of the petrous bone.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-023-08397-9</identifier><identifier>PMID: 38227283</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aged ; Cholesteatoma - surgery ; Endoscopy - methods ; Facial Nerve - surgery ; Facial Paralysis - etiology ; Facial Paralysis - surgery ; Female ; Geniculate Ganglion - surgery ; Head and Neck Surgery ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Microsurgery - methods ; Middle Aged ; Neurosurgery ; Otology ; Otorhinolaryngology ; Petrous Bone - surgery ; Recurrence ; Retrospective Studies ; Treatment Outcome ; Young Adult</subject><ispartof>European archives of oto-rhino-laryngology, 2024-06, Vol.281 (6), p.2905-2912</ispartof><rights>The Author(s) 2024</rights><rights>2024. 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To study the effect of temporary transposition of geniculate ganglion of facial nerve versus nontransposition on lesion recurrence and facial nerve function in patients with petrous bone cholesteatoma. Methods A total of 18 patients with petrous bone cholesteatoma involving the facial nerve were treated in our hospital from November 2016 to March 2023. The main surgical method is the extended supralabyrinthine approach assisted by a microscope and an endoscope. We collected and retrospectively analyzed their medical records. Results Temporary facial nerve transposition was performed in five patients, and nontransposition was performed in 13 patients. Cholesteatoma recurred in three patients with facial nerve nontransposition, whereas none in patients with facial nerve transposition. In this study, except for one case with a second operation, postoperative facial paralysis in other cases was improved to varying degrees, and there was no significant difference between the two groups. 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subjects Adolescent
Adult
Aged
Cholesteatoma - surgery
Endoscopy - methods
Facial Nerve - surgery
Facial Paralysis - etiology
Facial Paralysis - surgery
Female
Geniculate Ganglion - surgery
Head and Neck Surgery
Humans
Male
Medicine
Medicine & Public Health
Microsurgery - methods
Middle Aged
Neurosurgery
Otology
Otorhinolaryngology
Petrous Bone - surgery
Recurrence
Retrospective Studies
Treatment Outcome
Young Adult
title Combined microscope–endoscopy resection of petrous bone cholesteatoma with temporary facial nerve transposition versus nontransposition
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