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Japanese

THE SIGNIFICANCE OF DECOMPRESSION OPERATION ON THE FACIAL NERVE IN RAMSAY HUNT SYNDROME Shinichiro Asakuma 1 pp.529-537
Published Date 1973/8/20
DOI https://doi.org/10.11477/mf.1492207943
  • Abstract
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 It has been generally considered that the decompression operation is of little use for facial palsy caused by herpes zoster oticus. In this paper four cases of this disease in which facial palsies passed through different courses are reported. In one of them the decompression operation was performed with good results where abnormality of the Fallopian canal was revealed. One hundred cases of herpes zoster oticus are reviewed.

 (1) Twenty five cases (30%) showed no recovery of facial palsy.

 (2) Anatomical anomalies such as abnormal course or stenosis of the Fallopian canal may interfere with recovery of the paralytic facial nerve.

 (3) Tactless waiting for recovery may cause missing of the chance for decompression operation.

 (4) Owing to the technical advancement in facial nerve surgery nowadays it has become possible that the total decompression operation may be performed without any undue surgical injury.

 (5) The concept that the geniculate ganglionitis as being the cause of herpes zoster oticus has been questioned by many authors.

 In consideration of the above mentioned facts the authors propose the decompression operation should be carried out actively in patients in whom facial palsy had continued for several weeks with-out any signs of abatement.


Copyright © 1973, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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