The effect of total facial nerve decompression in preventing further recurrence of idiopathic recurrent facial palsy.
The objective is to study the role of total facial nerve decompression in preventing further episodes and promoting facial nerve recovery of idiopathic recurrent facial palsy. 24 cases with idiopathic recurrent facial palsy were involved in the study, among which 16 undergoing total facial nerve decompression were classified into the surgery group, and 8 who refused surgery and received prednisolone were included in the control group. The recurrence rate and facial nerve function recovery of the two groups were compared. The mean follow-up of surgery and control group was 4.9 years (range 3-7 years) and 5.0 years (range 3-8 years), respectively. Further attacks of facial palsy affected 1 of 16 cases (6.2 %) among surgery group in comparison to 4 of 8 cases (50 %) among control group, with statistical difference (p < 0.05). 15 of 16 cases (93.8 %) recovered to Grade I or Grade II in surgery group in contrast to 6 of 8 cases (75.0 %) in control group, without statistical difference (p > 0.05). In conclusion, total facial nerve decompression is effective to prevent further episodes of facial palsy in idiopathic recurrent facial palsy, but ineffective to promote facial nerve recovery.
Department of Otolaryngology-Head and Neck Surgery, The Second Hospital of Medical School of Xi'an Jiao Tong University, Xi'an, 710004, People's Republic of China.
Yang
Y
Li
Zhi
Z
Li
Cheng
C
Yan
Liu
L
Hui
D000284:Administration, Oral; D000293:Adolescent; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D020330:Bell Palsy / Q000188:drug therapy / Q000517:prevention & control*; D019299:Decompression, Surgical; D004334:Drug Administration Schedule; D005154:Facial Nerve / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures; D011239:Prednisolone / Q000627:therapeutic use; D012008:Recurrence; D016896:Treatment Outcome; D055815:Young Adult
D000893:Anti-Inflammatory Agents; D011239:Prednisolone