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How I Do It: Middle Fossa Approach of Facial Nerve Decompression

Year: 2025

Type: article

Abstract: We present a reproducible, stepwise middle fossa approach for facial nerve decompression focused on the labyrinthine segment, geniculate ganglion, and meatal foramen, with consistent anatomical landmarks to preserve hearing. The article and video detail patient setup, safe corridor creation, and retrograde drilling with practical tips to avoid cochlear or semicircular canal injury, aiming to lower the learning curve for facial nerve decompression.

Source: The Laryngoscope

DOI: 10.1002/lary.70210

Authors: Stéphane Gargula, Ralph Haddad, Dario Ebode, Maria‐Pia Tuset, Justin Michel, Thomas Radulesco, Lucas Troude, Mary Daval

Institutions: Centre National de la Recherche Scientifique, Aix-Marseille Université, Hôpital de la Conception, Institut Universitaire des Systèmes Thermiques Industriels, Hôpital Rothschild, Fondation Ophtalmologique Adolphe de Rothschild, Fondation de Rothschild, Assistance Publique Hôpitaux de Marseille

Language: English

Topic: Facial Nerve Paralysis Treatment and Research

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,840

OpenAlex ID: W4415280813

FWCI:

Cites: 5

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