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The anterior surgical approach in facial paralysis: The neglected horizontal position
Author(s) -
Brockman Seymour J.
Publication year - 1974
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.5540841109
Subject(s) - geniculate ganglion , medicine , anatomy , palsy , facial nerve , incus , facial canal , facial paralysis , paralysis , surgery , middle ear , stapes , alternative medicine , pathology
A combined postero‐anterior and antero‐posterior approach to the Bell's palsy patient, with removal of the incus, produces visualization of the Fallopian canal anteriorly from the geniculate ganglion to as far posteriorly as the stylomastoid foramen. This is not feasible by the posteroanterior approach alone. With a dehiscence of the horizontal portion of the Fallopian canal, it is not always necessary to decompress the vertical portion of the facial nerve. Surgical intervention is still indicated in non‐resolving Bell's palsy.