Author/Editor		Gros, Anton; Vatovec, Jagoda; Šereg-Bahar, Maja
Title		Zdravljenje ohromelosti obraznega živca pri poškodbah senčnih kosti
Translated title		Treatment of facial nerve palsy in temporal bone injuries
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. Suppl 3
Publication year		2000
Volume		str. 137-40
Language		slo
Abstract		From 1985 to 1999, we treated patients with peripheral facial nerve paresis or paralysis which was caused by injuries of the temporal region. In 8 cases in which the onset of paralysis was immediate, surgical treatment was used. The shortest period from injury to surgery was 4 days in one case, and the longest 270 days. Most authors believe that immediate surgical intervention increases the probability of facial nerve reactivation. The experience of some surgeons and our additional results have confirmed the finding that surgical exploration of the facial nerve is indicated at any time, since in one of our cases, decompression of the facial nerve proved to be effective even 103 days after the injury.
Summary		V času 1985-1999 smo obravnavali 61 bolnikov s periferno parezo ali paralizo obraznega živca, katere vzrok je bila poškodba senčničnega predela. V 8 primerih, kjer je paraliza nastopila takoj po poškodbi, smo kirurško intervenirali. Najkrajši čas, ki je minil od poškodbe do operacije, je bil v enem primeru 4 dni, najdaljši pa 270 dni. Večina avtorjev je mnenja, da imamo z zgodnjo kirurško intervencijo več možnosti, da se vzpostavi ponovno delovanje obraznega živca. Izkušnje nekaterih kirurgov in naše izkušnje pa potrjujejo dejstvo, da je smiselno narediti kirurško eksploracijo ohromelega živca kadarkoli, saj je prišlo pri enem izmed naših operirancev do reinervacije živca kljub temu, da smo opravili dekompresijo živca 103 dni po poškodbi.
Descriptors		TEMPORAL BONE FACIAL PARALYSIS TIME FACTORS