Journal article
Rationale for the Development of a Novel Clinical Grading Scale for Postoperative Facial Nerve Function: Results of a Multidisciplinary International Working Group
Otology & neurotology, Vol.44(10), pp.e747-e754
12/2023
DOI: 10.1097/MAO.0000000000004039
Abstract
Objective The objective of the current study was to present the results of an international working group survey identifying perceived limitations of existing facial nerve grading scales to inform the development of a novel grading scale for assessing early postoperative facial paralysis that incorporates regional scoring and is anchored in recovery prognosis and risk of associated complications. Study Design Survey. Setting A working group of 48 multidisciplinary clinicians with expertise in skull base, cerebellopontine angle, temporal bone, or parotid gland surgery. Results House-Brackmann grade is the most widely used system to assess facial nerve function among working group members (81%), although more than half (54%) agreed that the system they currently use does not adequately estimate the risk of associated complications, such as corneal injury, and confidence in interrater and intrarater reliability is generally low. Simplicity was ranked as the most important attribute of a novel postoperative facial nerve grading system to increase the likelihood of adoption, followed by reliability and accuracy. There was widespread consensus (91%) that the eye is the most critical facial region to focus on in the early postoperative setting. Conclusions Members were invited to submit proposed grading systems in alignment with the objectives of the working group for subsequent validation. From these data, we plan to develop a simple, clinically anchored, and reproducible staging system with regional scoring for assessing early postoperative facial nerve function after surgery of the skull base, cerebellopontine angle, temporal bone, or parotid gland.
Details
- Title: Subtitle
- Rationale for the Development of a Novel Clinical Grading Scale for Postoperative Facial Nerve Function: Results of a Multidisciplinary International Working Group
- Creators
- Matthew L. CarlsonChristine M. Lohse - Mayo Clinic in FloridaSiviero Agazzi - University of South FloridaSeilesh C. Babu - Michigan Ear InstituteFrederick G. Barker - Massachusetts General HospitalSamuel Barnett - The University of Texas Southwestern Medical CenterWenya Linda Bi - Brigham and Women's HospitalNigel Biggs - St Vincent's HospitalKofi D. Boahene - Johns Hopkins MedicineJoseph T. Breen - Mayo Clinic in FloridaKevin D. Brown - University of North Carolina at Chapel HillPer Cayé-Thomasen - Department of Otorhinolaryngology–Head and Neck Surgery and Audiology, University Hospital of Copenhagen, Copenhagen, DenmarkMaura K. Cosetti - Icahn School of Medicine at Mount SinaiNicholas L. Deep - Mayo Clinic HospitalJacob K. Dey - Department of Otolaryngology–Head and Neck SurgeryJames R. Dornhoffer - Department of Otolaryngology–Head and Neck SurgeryDavid Forner - Dalhousie UniversityRichard K. Gurgel - University of UtahMarlan R. Hansen - University of IowaJacob B. Hunter - Thomas Jefferson UniversityMichel Kalamarides - Pitié-Salpêtrière HospitalIrene A. Kim - University of California, Los AngelesAndrew T. King - NIHR Manchester Biomedical Research CentreMatthew L. Kircher - Loyola University Medical CenterLuis Lassaletta - Hospital La Paz Institute for Health ResearchMichael J. LinkSimon K.W. Lloyd - Department of Otolaryngology Head and Neck Surgery, Manchester Royal Infirmary, Manchester Academic Health Science Centre, Manchester University Hospitals NHS Foundation Trust, Manchester, UKMorten Lund-Johansen - Haukeland University HospitalJohn P. Marinelli - Department of Otolaryngology–Head and Neck SurgeryCordula Matthies - University of WürzburgVikas Mehta - Montefiore Medical CenterEric J. Moore - Department of Otolaryngology–Head and Neck SurgeryAshley M. Nassiri - University of Colorado Anschutz Medical CampusBrian A. Neff - Department of Otolaryngology–Head and Neck SurgeryRick F. Nelson - Indiana University – Purdue University IndianapolisJeffrey J. Olson - Emory UniversityNeil S. Patel - University of UtahMaria Peris Celda - Department of Neurologic Surgery, andAaron R. Plitt - Department of Neurologic Surgery, andDaniel L. Price - Department of Otolaryngology–Head and Neck SurgeryJ Thomas Roland - Department of Otolaryngology-Head and Neck Surgery, New York University Grossman School of Medicine, New York, New YorkAlex D. Sweeney - Baylor College of MedicineKendall K. Tasche - Department of Otolaryngology–Head and Neck SurgeryMarcos Tatagiba - University of TübingenØystein Tveiten - Haukeland University HospitalJamie J. Van Gompel - Department of Neurologic Surgery, andJeffrey T. Vrabec - Houston MethodistGeorge B. Wanna - Icahn School of Medicine at Mount SinaiPeter A. Weisskopf - Mayo Clinic Hospital
- Resource Type
- Journal article
- Publication Details
- Otology & neurotology, Vol.44(10), pp.e747-e754
- DOI
- 10.1097/MAO.0000000000004039
- ISSN
- 1531-7129
- eISSN
- 1537-4505
- Language
- English
- Electronic publication date
- 10/25/2023
- Date published
- 12/2023
- Academic Unit
- Molecular Physiology and Biophysics; Neurosurgery; Otolaryngology
- Record Identifier
- 9984500082102771
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