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Facial Nerve Injuries: Management & Anatomy

The document discusses facial nerve injuries, particularly focusing on causes such as iatrogenic and non-latrogenic trauma. It outlines surgical approaches, including pre-operative HRCT, landmarks for facial nerve surgery, and management strategies like the use of steroids and grafts. Additionally, it addresses complications such as CSF leaks and synkinesis, along with treatment options like Botox and artificial tears.

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gulzar laiba
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38 views1 page

Facial Nerve Injuries: Management & Anatomy

The document discusses facial nerve injuries, particularly focusing on causes such as iatrogenic and non-latrogenic trauma. It outlines surgical approaches, including pre-operative HRCT, landmarks for facial nerve surgery, and management strategies like the use of steroids and grafts. Additionally, it addresses complications such as CSF leaks and synkinesis, along with treatment options like Botox and artificial tears.

Uploaded by

gulzar laiba
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

FACIAL NERVE INJURIES

mc vatrogenic Parotida to protect Pre-opHRCT


Following trauma

toidectomy
>
-

2
largest
size burr
Sudden Next day
removebone t
a onset

Temporal fractures
Irrigation Landmarks
Palsy palsy
J
Non-latrogenic > S ~

Steroids
-
,

to the Re
6 , Drill parallel nerve
-

explore
under GA
facial
I nerve
1 .
Herve
monitoring (pref for bare
parts)
passes
external
from roof of
and ME longitudanal (M2) Transverse Palsy
thru IAM and roof of mEllE
-
End-end
repair
Graft. Greater auricular
↓
-

CHL
longitudanae-Vertigo longer
> Sural
-

/
~ TM
rupture v SNHL
Transverse
↓ CSF leak thru CSF leak into ME
~ Aberrant
tegmen tympani (CSF Chinorrhea)
regeneration :

E
①
Synkinesis
-

(csf Otorrhea
② Gustatory lacrimation
to
inj. Proximal
GSP
Mgt : Botox
-

in lacrimal

+
gland
artificial tears

what are landmarks of FN in


para
surgery ?O I un inf & deep
Tragal pointer
longitudanal transverse
② Posterior
belly of diagastic
.

③ Tympanomastoid Sutue

styloid process (lateral


to
④

⑦ Retrograde

· digantic

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