Jt. Roland et al., MANAGEMENT OF TRAUMATIC FACIAL-NERVE PARALYSIS WITH CAROTID-ARTERY CAVERNOUS SINUS FISTULA, European archives of oto-rhino-laryngology, 251(1), 1994, pp. 57-60
Massive skull base injuries require detailed preoperative neurological
and neurovascular assessment prior to undertaking surgical repair of
isolated cranial nerve deficits. We present the management of a patien
t with traumatic facial paralysis, cerebrospinal fluid leak, and carot
id artery cavernous sinus fistula as the result of a gunshot wound to
the skull base. The carotid artery cavernous sinus fistula was ultimat
ely controlled with superselective embolization via the vertebral arte
ry. The facial nerve injury was then safely treated with mobilization
of the labyrinthine and vertical segments to allow a primary anastomos
is.