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Is Facial Nerve Decompression Justified in Malignant External Otitis? Literature Review and Own Experience

OBJECTIVE: The aim of the study was to present the indications for facial nerve decompression in malignant external otitis, to analyze the results of such treatment, and to describe own experience in that field. METHODS: A search in the PubMed and Google Scholar databases for English language articl...

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Autores principales: Marszał, Joanna, Wierzbicka, Małgorzata, Bartochowska, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Academy of Otology and Neurotology and the Politzer Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10331638/
https://www.ncbi.nlm.nih.gov/pubmed/37272635
http://dx.doi.org/10.5152/iao.2023.22892
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author Marszał, Joanna
Wierzbicka, Małgorzata
Bartochowska, Anna
author_facet Marszał, Joanna
Wierzbicka, Małgorzata
Bartochowska, Anna
author_sort Marszał, Joanna
collection PubMed
description OBJECTIVE: The aim of the study was to present the indications for facial nerve decompression in malignant external otitis, to analyze the results of such treatment, and to describe own experience in that field. METHODS: A search in the PubMed and Google Scholar databases for English language articles published between 1968 and May 2022 was performed. We focused on papers describing patients with malignant external otitis and facial nerve palsy treated by decompression. Moreover, retrospective analysis of 24 consecutive patients with malignant external otitis hospitalized in our department in the past 10 years was performed. RESULTS: In the literature, 48 cases with malignant external otitis and facial nerve paresis treated by decompression were identified. In total, 41 patients recovered (85.42%), 4 died (1 due to exacerbation of the disease, 2 for pneumonia, and 1 for heart failure), and in 3 cases the final outcome was not presented. In most cases (24; 50%), facial nerve function did not improve after decompression, in 8 patients (16.67%) partial recovery was observed, in 11 cases (22.92%) full improvement was observed, and data were not given for 5 patients. In only one case, the spread of infection and deterioration of local and general patient states were noted. In our material, we identified 13 patients with malignant external otitis and facial nerve palsy. Two of them were treated surgically, of which only one had facial nerve decompression. Partial improvement of facial nerve function was observed after 6 months of rehabilitation. CONCLUSION: The management of malignant external otitis is still difficult and not well defined. Facial nerve decompression seems justified in selected cases of malignant external otitis not responding to conservative treatment.
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spelling pubmed-103316382023-07-11 Is Facial Nerve Decompression Justified in Malignant External Otitis? Literature Review and Own Experience Marszał, Joanna Wierzbicka, Małgorzata Bartochowska, Anna J Int Adv Otol Review OBJECTIVE: The aim of the study was to present the indications for facial nerve decompression in malignant external otitis, to analyze the results of such treatment, and to describe own experience in that field. METHODS: A search in the PubMed and Google Scholar databases for English language articles published between 1968 and May 2022 was performed. We focused on papers describing patients with malignant external otitis and facial nerve palsy treated by decompression. Moreover, retrospective analysis of 24 consecutive patients with malignant external otitis hospitalized in our department in the past 10 years was performed. RESULTS: In the literature, 48 cases with malignant external otitis and facial nerve paresis treated by decompression were identified. In total, 41 patients recovered (85.42%), 4 died (1 due to exacerbation of the disease, 2 for pneumonia, and 1 for heart failure), and in 3 cases the final outcome was not presented. In most cases (24; 50%), facial nerve function did not improve after decompression, in 8 patients (16.67%) partial recovery was observed, in 11 cases (22.92%) full improvement was observed, and data were not given for 5 patients. In only one case, the spread of infection and deterioration of local and general patient states were noted. In our material, we identified 13 patients with malignant external otitis and facial nerve palsy. Two of them were treated surgically, of which only one had facial nerve decompression. Partial improvement of facial nerve function was observed after 6 months of rehabilitation. CONCLUSION: The management of malignant external otitis is still difficult and not well defined. Facial nerve decompression seems justified in selected cases of malignant external otitis not responding to conservative treatment. European Academy of Otology and Neurotology and the Politzer Society 2023-05-01 /pmc/articles/PMC10331638/ /pubmed/37272635 http://dx.doi.org/10.5152/iao.2023.22892 Text en 2023 authors https://creativecommons.org/licenses/by-nc/4.0/ Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Review
Marszał, Joanna
Wierzbicka, Małgorzata
Bartochowska, Anna
Is Facial Nerve Decompression Justified in Malignant External Otitis? Literature Review and Own Experience
title Is Facial Nerve Decompression Justified in Malignant External Otitis? Literature Review and Own Experience
title_full Is Facial Nerve Decompression Justified in Malignant External Otitis? Literature Review and Own Experience
title_fullStr Is Facial Nerve Decompression Justified in Malignant External Otitis? Literature Review and Own Experience
title_full_unstemmed Is Facial Nerve Decompression Justified in Malignant External Otitis? Literature Review and Own Experience
title_short Is Facial Nerve Decompression Justified in Malignant External Otitis? Literature Review and Own Experience
title_sort is facial nerve decompression justified in malignant external otitis? literature review and own experience
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10331638/
https://www.ncbi.nlm.nih.gov/pubmed/37272635
http://dx.doi.org/10.5152/iao.2023.22892
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