Journal article
Surgical Outcomes in Idiopathic Recurrent Facial Nerve Paralysis: A Rare Clinical Entity
The Laryngoscope, Vol.130(1), pp.200-205
01/2020
DOI: 10.1002/lary.27906
PMCID: PMC8579377
PMID: 30840311
Abstract
Objective
To evaluate the postoperative facial nerve dysfunction, audiometric outcomes, and long‐term quality‐of‐life outcomes of patients with idiopathic recurrent facial nerve paralysis (RFP) after middle cranial fossa (MCF) microsurgical decompression.
Methods
Retrospective chart analysis of 11 (mean age 37.0 years, range 5 to 67) patients at an academic tertiary referral center who underwent MCF facial nerve decompression. Data analysis included evaluation of pre‐ and postoperative House‐Brackmann (HB) score, pre‐ and postoperative pure‐tone average (PTA), pre‐and postoperative word recognition scores (WRS), and postoperative Facial Clinimetric Evaluation survey.
Results
Mean number of preoperative facial paralysis episodes was 3.5 (range 2 to 6), and preoperative HB score was 4.5 (range 1 to 6). Postoperatively, 0 patients had further episodes of facial nerve paralysis at an average of 6.5 years (range 0.1 to 17.6) (P = 0.005), and the average postoperative HB score was 2.1 (range 1 to 3) (P = 0.011). Postoperative audiometry was stably maintained as assessed with PTA and WRS scores.
Conclusion
Microsurgical facial nerve decompression for idiopathic RFP may be a reliable therapeutic modality to prophylactically decrease the number of facial nerve paralysis episodes and may also help to improve facial nerve functional status.
Level of Evidence
4 Laryngoscope, 130:200–205, 2020
Details
- Title: Subtitle
- Surgical Outcomes in Idiopathic Recurrent Facial Nerve Paralysis: A Rare Clinical Entity
- Creators
- Christopher Blake Sullivan - University of Iowa Hospitals and ClinicsDaniel Q. Sun - University of Iowa Hospitals and ClinicsVivian L. Zhu - University of Iowa Hospitals and ClinicsMarlan R. Hansen - University of Iowa Hospitals and ClinicsBruce J. Gantz - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- The Laryngoscope, Vol.130(1), pp.200-205
- Publisher
- John Wiley & Sons, Inc
- DOI
- 10.1002/lary.27906
- PMID
- 30840311
- PMCID
- PMC8579377
- ISSN
- 0023-852X
- eISSN
- 1531-4995
- Number of pages
- 6
- Grant note
- Foundation for the National Institutes of Health (NCATS UL1TR002537) National Institutes of Health (NIH)/National Center for Advancing Translational Sciences (NCATS) (UL1TR002537)
- Language
- English
- Date published
- 01/2020
- Academic Unit
- Molecular Physiology and Biophysics; Neurosurgery; Otolaryngology
- Record Identifier
- 9984297501702771
Metrics
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