Segmental Facial Nerve Decompression in Patients of Chronic Suppurative Otitis Media with Diabetes Mellitus

Authors: Rathod J, Karkamkar S* and Dongardive S

DOI: 10.23880/ooaj-16000207

Volume 6, Issue 1

Abstract

Introduction: Facial nerve decompression is opening the bony canal and nerve sheath to release pressure and reduce compression on nerve fibers. The goal of decompression is to improve blood circulation and minimize damage to distal nerve fibers. Methodology: We present study of 20 patients who came to ENT OPD, From June, 2017 –March, 2020 presented to us with non-traumatic facial palsy grade III and above; in whom we did facial nerve decompression via trans-mastoid approach. Conclusion: Segmental decompression of facial nerve with masoidectomy provides better results than mastoidectomy alone because it enables expansion of nerve, reduces post-operative oedema and less need for steroid administration in diabetic patients with better clinical outcome.

Keywords: Facial paralysis; Diabetes mellitus; Decompression; Trans-mastoid approach; Tympanic segment; 1st genu; Stylomastoid foramen; Bony canal

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