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Open Access 16-01-2024 | Cholesteatoma | Otology

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

Authors: Honglin Mei, Xiaoling Lu, Chunguang Dong, Hailiang Lin, Bing Chen, Huawei Li, Yusu Ni

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2024

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Abstract

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.
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Metadata
Title
Combined microscope–endoscopy resection of petrous bone cholesteatoma with temporary facial nerve transposition versus nontransposition
Authors
Honglin Mei
Xiaoling Lu
Chunguang Dong
Hailiang Lin
Bing Chen
Huawei Li
Yusu Ni
Publication date
16-01-2024
Publisher
Springer Berlin Heidelberg
Keyword
Cholesteatoma
Published in
European Archives of Oto-Rhino-Laryngology / Issue 6/2024
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-023-08397-9

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