tailieunhanh - Tổng quan về phẫu thuật giảm áp điều trị liệt dây thần kinh VII ngoại biên trong chấn thương xương thái dương

Bài viết mô tả kết quả điều trị phẫu thuật giảm áp liệt dây thần kinh VII ngoại biên trong chấn thương xương thái dương (CTXTD). Phương pháp: Sử dụng cơ sở dữ liệu từ trang thông tin điện tử Pubmed, thư viện đại học Y Hà Nội và tìm kiếm thủ công (từ tháng 1/2013 đến tháng 6/2022). Tiêu chí lựa chọn: các nghiên cứu về phẫu thuật giảm áp bệnh nhân liệt dây thần kinh VII ngoại biên trong CTXTD. | Vietnam Journal of Community Medicine Vol. 64 Special Issue 2023 19-27 OVERVIEW OF DECOMPRESSION SUGERY FOR PERIPHERAL FACIAL NERVE PALSY DUE TO THE TEMPORAL BONE FRACTURE Pham Thanh Thuy1 Nguyen Thi To Uyen2 Dang Xuan Vinh3 1 Thu Cuc International Hospital - 286 Thuy Khue Tay Ho Hanoi Vietnam 2 Hanoi Medical University - 1 Ton That Tung Street Kim Lien Dong Da Hanoi Vietnam 3 Thai Binh University of Medicine and Pharmacy - 373 Ly Bon street Thai Binh City Thai Binh Vietnam Received 04 03 2023 Revised 06 04 2023 Accepted 08 05 2023 SUMMARY Objectives Describe of the outcomes of decompression sugery for peripheral facial nerve palsy due to the temporal bone fracture. Study design Scoping review. Methods Using databases from Pubmed website Hanoi Medical University library and manual search January 2013 to June 2022 . The inclusion criteria studies of decompression sugery for peripheral facial nerve palsy due to the temporal bone fracture. Results 17 studies were included in this scoping review. The pure transmastoid approach was dominant with 11 16 studies using in studies. There are 7 out of 14 studies that recommend early surgery for better results. There is no consensus on the specific time of surgery the maximum recommended time of surgery is less than 3 months. Treatment outcomes all studies reported improvement. There are 6 17 studies with gt 60 of patients improving the degree of facial paralysis in grades I and II. Conclusion The outcome of the treatment is significantly favorable clinical improvement especially early surgery gives better results. Predominant patient selection criteria include severe facial paralysis grade IV-VI degenerative ENoG gt 90 presence of vibration potential and or absence of regenerative potential in EMG results are suitable candidates for decompression surgery. Keywords Temporal bone fractures facial paralysis facial nerve palsy traumatic facial paraly- sis. Corressponding author Email address Phone