How I Do It: Middle Fossa Approach of Facial Nerve Decompression.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 41104796.
- Also identified by DOI 10.1002/lary.70210 and PMC identifier 13001708.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
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.
Medical subject headings
- Decompression, Surgical
- Facial Nerve
- Cranial Fossa, Middle