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Steven A. Bielamowicz, MD; Newton J. Coker, MD; Herman A. Jenkins, MD; Makoto Igarashi, MD

Arch Otolaryngol Head Neck Surg. 1988;114(5):534-537.

Abstract
• The facial recess approach permits surgical access to the round window area. This route is used in patients who are undergoing cochlear implantation. To evaluate the feasibility of this procedure in children as compared with adults, serial sections of temporal bones were used t[ill] measure the surgical dimensions of the facial recess. No statistically significant differences in the dimensions of the facial recess or the extended facial recess approaches were found between children and adults. The relationship of the facial and chorda tympani nerves to the annular plane exhibited no change with postnatal growth. These structures translate posteriorly and laterally toward the annular plane as they descend within the temporal bone. Therefore, the facial recess approach represents no greater hazard in a child than in an adult.

(Arch Otolaryngol Head Neck Surg 1988;114:534-537)

Author Affiliations
From the Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston.

Footnotes
Accepted for publication Feb 19, 1988.

Presented as a Scientific Poster at the 91st annual meeting of the American Academy of Otolaryngology-Head and Neck Surgery, Chicago, Sept 20, 1987.

Reprint requests to Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030 (Dr Coker).

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