Multislice Computed Tomography in Cases With Facial Nerve Paralysis Due to Temporal Bone Trauma

Facial Nerve Paralysis Clinical Trial

Official title:

Reliability of Multislice Computed Tomography Scan in Cases With Facial Nerve Paralysis Due to Temporal Bone Trauma

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03469427
• Other study ID #: RCTFPTBT
• Status: Recruiting
• Start date: May 1, 2018
• Est. completion date: February 1, 2020

Study information

• Verified date: July 2018
• Source: Assiut University
• Contact: Mahmoud Mohamed Ragheb, Professor
• Phone: 00201003317723
• Email: Mmraghib[@]aun.edu.eg
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Facial nerve paralysis is a disfiguring complication which occurs in 7-10 % of temporal bone fractures.

The onset of paralysis may be immediate, delayed or undetermined, the latter of which often occurs in unconscious patients with accompanying life-threatening complications.About one fourth has complete paralysis.

Description:

Facial nerve paralysis might have variable etiologies apart from idiopathic Bell's palsy, Congenital, infectious, inflammatory, neoplastic, neurological, toxic, iatrogenic and atraumatic causes.

Surgical intervention is indicated if 90-95% loss of function is seen at the very early period on Electroneuronography or if there is axonal degeneration on Electromyography lately with no sign of recovery.

High-resolution multislice computed tomography of the temporal bone is routinely required for evaluation of traumatic facial paralysis. High-resolution multislice computed tomography is known to be the best method for evaluating the intratemporal course of the facial nerve, but it has some limitations as well. Occasionally, the surgeon may encounter facial nerve injuries which have not been revealed in the preoperative computed tomography.

There are limited data in recent medical publications evaluating the diagnostic value of temporal bone High-resolution multislice computed tomography in the evaluation of traumatic facial paralysis. Therefore, in this study,the investigators will compare the findings of preoperative high-resolution multislice computed tomography with surgical findings to determine the diagnostic value of computed tomography.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 15
• Est. completion date: February 1, 2020
• Est. primary completion date: November 1, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• All patients with temporal bone fracture presented with facial nerve paralysis of immediate onset and meet the criteria of facial nerve exploration regardless of age and sex.

Exclusion Criteria:

• Pregnant women.

• Unfit patients for surgery.

• Patients refuse surgical intervention.

Related Conditions & MeSH terms

• Bell Palsy
• Facial Nerve Paralysis
• Facial Paralysis
• Facies
• Paralysis

Locations

Country	Name	City	State
Egypt	Assiut university hospital	Assiut

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Patients who suffer from facial nerve paralysis due to temporal bone trauma will be diagnosed by using multislice computed tomography	Evaluation the reliability of multislice computed tomography in the assessment of facial nerve paralysis due to temporal bone trauma	up to 2 years