title: Subtotal facial nerve decompression in preventing further recurrence and promoting facial nerve recovery of severe idiopathic recurrent facial palsy.
abstract: The objective of the study is to document the role of subtotal facial nerve decompression in preventing further recurrence and promoting facial nerve recovery of severe idiopathic recurrent facial palsy. Twenty-two cases with idiopathic recurrent facial palsy, which had over 95% degeneration of facial nerve on electroneurography, were included in the study, among which 12 accepting subtotal facial nerve decompression were involved in surgery group, and 10 who refused surgery and received prednisolone were classified into control group. The recurrence of facial palsy and facial nerve recovery was compared. The patients were followed up for 5.3 years (range 3-8 years) and 5.2 years (range 3-7 years) in surgery group and control group, respectively. Further recurrence of facial palsy occurred in none of 12 patients (0%) in surgery group in contrast to 4 of 10 cases (40%) in control group, with statistical difference (p < 0.05). 11 of 12 cases (91.7%) in surgery group recovered to Grade I or Grade II compared to 3 of 10 cases (30.0%) in control group, with significant difference (p < 0.05). Subtotal facial nerve decompression is effective to prevent further recurrence of facial palsy and promote facial nerve recovery of severe idiopathic recurrent facial palsy.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Qilu Hospital, Shandong University, Culture West Road, Jinan, 250012, People's Republic of China.|Department of Otolaryngology, Shuguang Hospital Baoshan Branch, Shanghai University of Traditional Chinese Medicine, You Yi Road, Shanghai, 201900, People's Republic of China.
authors.forename: Shu-hui
authors.initials: SH
authors.lastname: Wu
authors.affiliation: Department of Otolaryngology, Shuguang Hospital Baoshan Branch, Shanghai University of Traditional Chinese Medicine, You Yi Road, Shanghai, 201900, People's Republic of China.
authors.forename: Xiang
authors.initials: X
authors.lastname: Chen
authors.affiliation: Department of Otolaryngology, Shuguang Hospital Baoshan Branch, Shanghai University of Traditional Chinese Medicine, You Yi Road, Shanghai, 201900, People's Republic of China.
authors.forename: Jie
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Otolaryngology, Shuguang Hospital Baoshan Branch, Shanghai University of Traditional Chinese Medicine, You Yi Road, Shanghai, 201900, People's Republic of China.
authors.forename: Hua
authors.initials: H
authors.lastname: Liu
authors.affiliation: Department of Otolaryngology, Shuguang Hospital Baoshan Branch, Shanghai University of Traditional Chinese Medicine, You Yi Road, Shanghai, 201900, People's Republic of China.
authors.forename: Xiao-zhong
authors.initials: XZ
authors.lastname: Qian
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Qilu Hospital, Shandong University, Culture West Road, Jinan, 250012, People's Republic of China. XinliangPan2014@163.com.
authors.forename: Xin-liang
authors.initials: XL
authors.lastname: Pan
mesh_terms: D000293:Adolescent; D000328:Adult; D020330:Bell Palsy / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods*; D005145:Face / Q000502:physiology*; D005154:Facial Nerve / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods*; D020127:Recovery of Function; D012008:Recurrence; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Facial nerve; Recurrent facial palsy; Subtotal facial nerve decompression