Outcomes and prognostic factors of facial nerve repair: a retrospective comparative study of 31 patients and literature review View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-08-17

AUTHORS

Fabienne Carré, Rémi Hervochon, Ghizlene Lahlou, Diane Lastennet, Peggy Gatignol, Daniele Bernardeschi, Georges Lamas, Frédéric Tankéré

ABSTRACT

PurposeTo evaluate functional results of facial nerve repair by direct nerve suture or grafting, compare results between a traumatic and a tumoral group and identify prognostic factors.MethodsA retrospective monocentric cohort study was studied in a university ENT department.Thirty-one patients who benefited from facial nerve suture or grafting, with at least 12 months postoperative follow-up were included. Patients were divided into two groups according to the lesion type: traumatic (accident of the public road or iatrogenic) and tumoral. Preoperative data studied were sex, side, etiology documented by CT and/or MRI, facial palsy duration and grade according to House Brackmann grading system. Intraoperative data included: surgeon, age of patient, surgical technique, graft type, use of biological glue, facial nerve derivation, lesioned site. Postoperative data included: histological diagnosis, radiotherapy history, time to onset of the first signs of reinnervation, follow-up duration, and final facial function.ResultsSuccess rate, including grade III and IV, was 68% in the whole cohort, 79% in the traumatic group and 59% in the tumoral group. Patients presenting with facial palsy evolving less than 6 months had better recovery results than those evolving longer than 6 months (p = 0.02). No other prognostic factors were identified.ConclusionsThe best outcome that can be achieved by suture or grafting of the facial nerve in traumatic or tumoral lesions is a grade III. Preoperative facial palsy duration is a prognostic factor and must be considered when establishing an operative indication. More... »

PAGES

1091-1097

References to SciGraph publications

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URI

http://scigraph.springernature.com/pub.10.1007/s00405-021-07043-6

DOI

http://dx.doi.org/10.1007/s00405-021-07043-6

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https://app.dimensions.ai/details/publication/pub.1140467512

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34402952


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