How I Do It: Middle Fossa Approach of Facial Nerve Decompression
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.
Authors
- Dario Ebode (ORCID: https://orcid.org/0000-0001-9248-0256)
- Stéphane Gargula (ORCID: https://orcid.org/0000-0002-5034-4210)
- Thomas Radulesco (ORCID: https://orcid.org/0000-0002-5939-5372)
- Maria‐Pia Tuset (ORCID: https://orcid.org/0000-0001-5938-7236)
- Mary Daval (ORCID: https://orcid.org/0000-0002-9815-1602)
- Lucas Troude (ORCID: https://orcid.org/0000-0003-2995-4820)
- Ralph Haddad (ORCID: https://orcid.org/0000-0002-1388-3848)
- Justin Michel (ORCID: https://orcid.org/0000-0002-5275-909X)
Institutions
- Centre National de la Recherche Scientifique (FR)
- Aix-Marseille Université (FR)
- Fondation Ophtalmologique Adolphe de Rothschild (FR)
- Fondation de Rothschild (FR)
- Institut Universitaire des Systèmes Thermiques Industriels (FR)
Publication Details
- Journal
- The Laryngoscope
- Published
- 2025-10-17
- DOI
- https://doi.org/10.1002/lary.70210
- Primary Topic
- Facial Nerve Paralysis Treatment and Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00