Author/Editor		Battelino, Saba
Title		Kirurška anatomija perifernega dela obraznega živca in novosti v kirurškem zdravljenju njegovih bolezni in poškodb ter zdravljenju posledic njegove okvare
Type		članek
Source		Rehabilitacija
Vol. and No.		Letnik 4, št. 1-2
Publication year		2005
Volume		str. 76-81
Language		slo
Abstract		The facial nerve is unique among motor nerves in that it has the longest course through a narrow bony canal of any nerve in the body, and because of these it is paralyzed more often than any other nerve. The disability resulting from facial palsy is especially distressing because of the grotesque disfigurement accentuated by exactly those emotions that lend beauty to the normal countenance: smiling and laughing. Facial paralysis is above all an otology disease because more than nine tenths of the cases are due to a lesion within the temporal bone. The facial nerve trauma and the other possible causes followed by facial nerve damage are discussed. The surgical anatomy and the surgical approaches regarding therapy of paralysis/paresis of the facial nerve is emphasized. The essential is close collaboration among the specialists involved in the diagnosis, therapy and rehabilitation of the paresis/paralysis of the facial nerve.
Summary		Obrazni živec je, zaradi svoje pestre sestave in mnogoterih funkcij ter dolgega poteka v kostnem kanalu, edinstven med motoričnimi živci. Zaradi utesnjene lege v dolgem kostnem kanalu je pogosteje prizadet kot ostali motorični živci. Socialna onesposobljenost bolnikov, ki imajo motnjo delovanja obraznega živca, pripomore h dodatni prizadetosti bolnikov ob njegovi parezi/paralizi. Nedelovanje obraznega živca sodi predvsem med otološke bolezni saj je devet desetin vzrokov za njegovo nedelovanje posledica bolezni in poškodb v temporalni kosti. V prispevku so opisane poškodbe obraznega živca in tudi ostali vzroki, ki pripeljejo do njegovega nedelovanja. Opisana je kirurška anatomija in možnosti kirurškega zdravljenja ob njegovem nedelovanju. Ključna je natančna opredelitev vzroka, lege in vrste nedelovanja obraznega živca ter sodelovanje vseh, ki so vključeni v njegovo diagnostiko, zdravljenje in rehabilitacijo.
Descriptors		FACIAL NERVE FACIAL PARALYSIS