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  • Title: Total facial nerve exploration: transmastoid, extralabyrinthine, and subtemporal indications and results.
    Author: May M.
    Journal: Laryngoscope; 1979 Jun; 89(6 Pt 1):906-17. PubMed ID: 312987.
    Abstract:
    Increasingly, surgeons are using a middle fossa approach though craniotomy to reach the labyrinthine segment of the facial nerve and geniculate ganglion in patients with intact hearing. This paper describes a transmastoid operation that provide exposure of the labyrinthine segment of the facial nerve without performance of a craniotomy. In this procedure the geniculate ganglion and labyrinthine segments of the facial nerve were exposed, while cochleovestibular function was spared; recovery of the facial nerve in patients with Bell's palsy or herpes zoster oticus (even the patients with a dry eye) was favourably influenced.
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