Decompression of the Facial Nerve

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Abstract
SINCE THE 1920's when Bunnell and Balance and Duel1-3 started to operate upon the facial nerve inside the temporal bone, there has seemed no reason why a good surgeon should not approach this nerve in order to cure its paralysis. The improvement of the technical possibilities has been enormous. The operation microscope with its excellent illumination, the drill used for many years for otosclerosis surgery, and a perfect anaesthesia, either local or general, have made the surgical approach of the fallopian canal a common procedure in the hands of some ear surgeons. It is the only rational treatment in many cases of facial paralysis, and there is now no reason to avoid the difficult anatomy of the petrous bone. Many other operations in the same domain are performed routinely by a great many otologists all over the world with great success and, alas, sometimes with trouble as we shall

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