Abstract
Six cases with ossicular disruption due to indirect injury of head trauma are reported. Facial nerve paralysis was present in all 6, and 5 patients underwent facialnerve decompression because they showed no signs of recovery. Satisfactory hearing (within 4adB) was achieved in all 6 by ossicular reconstruction, and facial nerve function (over 30 points in the paralysis score) was restored by decompression surgery. The etiology, diagnosis, timing and technique of surgery are discussed.