MS (ENT) Applied Basic SciencesMarch 2009I.
Anatomy: Answer any fourFacial recess
Is defined as an aerated extension posterior superiorportion of the middle ear cavity medial to the tympanic annulus andlateral to the fallopian canal.Boundaries:Medial
Incus buttress (near the short process of incus)Running through the wall between these two structures with varyingdegrees of obliquity is the chorda tympani nerve. Chorda tympaninerve always run medial to the tympanic membrane.Drilling in this area between the facial nerve and annulus in the angleformed by the chorda tympani nerve leads into the middle ear cavity.This surgical approach to the middle ear cavity is known as facialrecess approach.Uses of facial recess approach:1.
Used to reach hypotympanum of middle ear2.
Used to place cochlear implant electrode into the cochlea via theround window.3.
Horizontal portion of facial nerve can be accessed via thisapproach. Hence this approach can be used to performdecompression of horizontal division of facial nerve.