scholarly journals Facial nerve decompression in traumatic facial nerve paralysis: systematic review and meta-analysis of outcomes

2021 ◽  
Vol 1 ◽  
pp. 100595
Author(s):  
A. Belouaer ◽  
V. Aureli ◽  
D. Starnoni ◽  
M. George ◽  
R.T. Daniel
Keyword(s):  
Systematic Review ◽  
Facial Nerve ◽  
Meta Analysis ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Nerve Decompression ◽  
Facial Nerve Decompression

scholarly journals Comparison between early and delayed facial nerve decompression in traumatic facial nerve paralysis - A retrospective study

CoDAS ◽  
2018 ◽  
Vol 30 (1) ◽  
Author(s):  
David Victor Kumar Irugu ◽  
Anoop Singh ◽  
Sravan CH ◽  
Achyuth Panuganti ◽  
Anand Acharya ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Facial Nerve ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Nerve Decompression ◽  
Facial Nerve Decompression

scholarly journals Total Facial Nerve Decompression for Severe Traumatic Facial Nerve Paralysis: A Review of 10 Cases

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Sertac Yetiser
Keyword(s):  
Facial Nerve ◽  
Early Period ◽  
Operation Time ◽  
Sudden Onset ◽  
Facial Nerve Paralysis ◽  
Excitation Threshold ◽  
Loss Of Function ◽  
Nerve Paralysis ◽  
Nerve Decompression ◽  
Facial Nerve Decompression

Management of traumatic facial nerve disorders is challenging. Facial nerve decompression is indicated if 90–95% loss of function is seen at the very early period on ENoG or if there is axonal degeneration on EMG lately with no sign of recovery. Middle cranial or translabyrinthine approach is selected depending on hearing. The aim of this study is to present retrospective review of 10 patients with sudden onset complete facial paralysis after trauma who underwent total facial nerve decompression. Operation time after injury is ranging between 16 and105 days. Excitation threshold, supramaximal stimulation, and amplitude on the paralytic side were worse than at least %85 of the healthy side. Six of 11 patients had HBG-II, one patient had HBG-I, 3 patients had HBG-III, and one patient had HBG-IV recovery. Stretch, compression injuries with disruption of the endoneurial tubules undetectable at the time of surgery and lack of timely decompression may be associated with suboptimal results in our series.

Hypoglossal-Facial Nerve Anastomosis: A Meta-Analytic Study

2007 ◽  
Vol 116 (7) ◽  
pp. 542-549 ◽  
Author(s):  
Sertac Yetiser ◽  
Ugur Karapinar
Keyword(s):  
Facial Nerve ◽  
Meta Analysis ◽  
Statistical Significance ◽  
Cranial Nerves ◽  
Facial Nerve Paralysis ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Reliable Technique ◽  
Nerve Paralysis ◽  
Nerve Anastomosis

Objectives: A meta-analysis was conducted on the outcome of facial nerve function after hypoglossal-facial nerve anastomosis in humans. The roles of the timing of and the underlying cause for surgery, the type of the repair, and previous facial nerve function in the final result were analyzed. Methods: Articles were identified by means of a PubMed search using the key words “facial-hypoglossal anastomosis,” which yielded 109 articles. The data were pooled from existing literature written in English or French. Twenty-three articles were included in the study after we excluded those that were technical reports, those describing anastomosis to cranial nerves other than the hypoglossal, and those that were experimental animal studies. Articles that reported facial nerve function after surgery and timing of repair were included. Facial nerve function had to be reported according to the House-Brackmann scale. If there was more than 1 article by the same author(s), only the most recent article and those that did not overlap and that matched the above criteria were accepted. The main parameter of interest was the rate of functional recovery of the facial nerve after anastomosis. This parameter was compared among all groups with Pearson's X2 test in the SPSS program for Windows. Statistical significance was set at a p level of less than .05. Results: Analysis of the reports indicates that early repair, before 12 months, provides a better outcome. The severity of facial nerve paralysis does not have a negative effect on prognosis. Gunshot wounds and facial neuroma are the worst conditions for favorable facial nerve recovery after anastomosis. Transection of the hypoglossal nerve inevitably results in ipsilateral tongue paralysis and atrophy. Modification of the anastomosis technique seems to resolve this problem. Nevertheless, the effect of modified techniques on facial reanimation is still unclear, because the facial nerve function results were lacking in these reports. Conclusions: Hypoglossal-facial nerve anastomosis is an effective and reliable technique that gives consistent and satisfying results.

Corticosteroid Treatment for Idiopathic Facial Nerve Paralysis: A Meta-analysis

2000 ◽  
Vol 110 (3) ◽  
pp. 335-341 ◽  
Author(s):  
Mitchell Jay Ramsey ◽  
Rebecca DerSimonian ◽  
Michael R. Holtel ◽  
Lawrence P. A. Burgess
Keyword(s):  
Facial Nerve ◽  
Meta Analysis ◽  
Corticosteroid Treatment ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis

Experimental Facial Nerve Paralysis: Influence of Decompression

1974 ◽  
Vol 83 (5) ◽  
pp. 582-595 ◽  
Author(s):  
James A. Greer ◽  
D. Thane R. Cody ◽  
Edward H. Lambert ◽  
Louis H. Weiland
Keyword(s):  
Facial Nerve ◽  
Facial Nerve Paralysis ◽  
Nerve Function ◽  
Test Results ◽  
Nerve Paralysis ◽  
Muscle Response ◽  
Nerve Decompression ◽  
Nerve Excitability ◽  
Facial Nerves ◽  
Recovery Times

An experimental model was employed to establish an endotemporal bone facial nerve paralysis in cats. Twelve facial nerves were initially surgically decompressed— Both bony decompression and sheath decompression—to determine if any harm was done to the nerves by these procedures. Transient harm was found in 3 of the 12 nerves. After the course of the facial paralysis without any decompression was determined, 39 cats underwent either bony or sheath nerve decompression, both immediately after injury and after a delay. The cats were followed clinically and electrophysiologically; the nerve excitability test and the amplitude and latency of muscle response evoked by nerve stimulation were used to evaluate nerve function. While immediate postinjury bony decompression resulted in slightly earlier recovery times, immediate sheath splitting significantly lengthened recovery times and worsened the electrophysiologic test results. Histologic studies confirmed the clinical and electrophysiologic results anatomically. Delayed nerve decompression, either bony or sheath, was not associated with faster recovery rates.

Sign in / Sign up

Export Citation Format

Share Document