Facial nerve decompression for idiopathic Bell's palsy : report of 13 cases and literature review
INTRODUCTION: The prognosis for cases of idiopathic facial palsy is usually good. However, some cases develop disabling sequelae, such as synkinesis or severe facial hemispasm, despite targeted medical treatment.
OBJECTIVES: The authors try to achieve that electromyography is useful to identify patients with severe palsy and an unfavourable prognosis. These patients would probably benefit from facial nerve decompression.
SETTING: The otolaryngology-head and neck surgery department of Pitié-Salpêtrière Hospital, Paris, a tertiary referral centre.
PARTICIPANTS: Thirteen cases undergoing surgery between January 1997 and March 2007.
MAIN OUTCOME MEASURES: We describe the electromyographic findings that led to surgery. All patients underwent surgery via a subpetrous approach, within four months of the onset of palsy. Decompression involved the first and second portions of the nerve and the geniculate ganglion.
RESULTS: Recovery to House-Brackmann grade III was obtained in all cases at one year follow up.
CONCLUSION: These results compared favourably with previous reports. A new therapeutic procedure may allow improved results.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2010 |
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| Erschienen: |
2010 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:124 |
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| Enthalten in: |
The Journal of laryngology and otology - 124(2010), 3 vom: 01. März, Seite 272-8 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Bodénez, C [VerfasserIn] |
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| Anmerkungen: |
Date Completed 14.05.2010 Date Revised 30.07.2014 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1017/S0022215109991265 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM191751804 |
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| 100 | 1 | |a Bodénez, C |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Facial nerve decompression for idiopathic Bell's palsy |b report of 13 cases and literature review |
| 264 | 1 | |c 2010 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
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| 500 | |a Date Completed 14.05.2010 | ||
| 500 | |a Date Revised 30.07.2014 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a INTRODUCTION: The prognosis for cases of idiopathic facial palsy is usually good. However, some cases develop disabling sequelae, such as synkinesis or severe facial hemispasm, despite targeted medical treatment | ||
| 520 | |a OBJECTIVES: The authors try to achieve that electromyography is useful to identify patients with severe palsy and an unfavourable prognosis. These patients would probably benefit from facial nerve decompression | ||
| 520 | |a SETTING: The otolaryngology-head and neck surgery department of Pitié-Salpêtrière Hospital, Paris, a tertiary referral centre | ||
| 520 | |a PARTICIPANTS: Thirteen cases undergoing surgery between January 1997 and March 2007 | ||
| 520 | |a MAIN OUTCOME MEASURES: We describe the electromyographic findings that led to surgery. All patients underwent surgery via a subpetrous approach, within four months of the onset of palsy. Decompression involved the first and second portions of the nerve and the geniculate ganglion | ||
| 520 | |a RESULTS: Recovery to House-Brackmann grade III was obtained in all cases at one year follow up | ||
| 520 | |a CONCLUSION: These results compared favourably with previous reports. A new therapeutic procedure may allow improved results | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 700 | 1 | |a Bernat, I |e verfasserin |4 aut | |
| 700 | 1 | |a Willer, J-C |e verfasserin |4 aut | |
| 700 | 1 | |a Barré, P |e verfasserin |4 aut | |
| 700 | 1 | |a Lamas, G |e verfasserin |4 aut | |
| 700 | 1 | |a Tankéré, F |e verfasserin |4 aut | |
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