1 511

Cited 27 times in

The effect of surgical timing on functional outcomes of traumatic facial nerve paralysis

DC Field Value Language
dc.contributor.author김진-
dc.contributor.author심대보-
dc.contributor.author이원상-
dc.date.accessioned2015-04-23T17:11:34Z-
dc.date.available2015-04-23T17:11:34Z-
dc.date.issued2010-
dc.identifier.issn0022-5282-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/101998-
dc.description.abstractBACKGROUND: The optimal timing for surgical exploration of traumatic facial paralysis to best preserve facial function is currently controversial. This article reviews the final outcomes of facial function in patients with traumatic intratemporal facial nerve injury according to the timing of surgical exploration. METHODS: We performed a retrospective review of 58 patients with complete facial nerve paralysis caused by temporal bone fractures as a result of head trauma between 1998 and 2007. Patients were divided into three groups according to the type of trauma. The only difference between patients in each group was the timing of the surgical exploration. Characteristics assessed in the study included type of trauma, location of facial nerve injury, timing of surgical intervention, audiometric findings, surgical approach, and long-term follow-up of recovery of facial nerve function, as assessed by two facial nerve grading systems. RESULTS: The final functional gains in early-operated patients were 3.7 +/- 0.59 on the House-Brackmann (HB) scale and 75.6 +/- 10.88 on the Sunnybrook scale. The outcome in late-operated patients was 2.17 +/- 0.52 on the HB scale and 34.7 +/- 16.95 on the Sunnybrook scale, and that of nonoperated patients was 2.0 +/- 0.63 on the HB scale and 26.8 +/- 6.27 on the Sunnybrook scale. CONCLUSION: This study demonstrated that some patients with traumatic facial nerve paralysis who had nerve conduction studies consistent with a poor prognosis regained considerable facial function after early surgical intervention. However, late exploration after facial nerve paralysis did not result in positive outcomes, regardless of the type of temporal bone fracture or the site of injury, and no difference was observed compared with conservative treatment.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfJournal of Trauma-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHElectromyography-
dc.subject.MESHFacial Nerve Injuries/physiopathology-
dc.subject.MESHFacial Nerve Injuries/surgery*-
dc.subject.MESHFacial Nerve Injuries/therapy-
dc.subject.MESHFacial Paralysis/physiopathology-
dc.subject.MESHFacial Paralysis/surgery*-
dc.subject.MESHFacial Paralysis/therapy-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHNeurologic Examination-
dc.subject.MESHPrognosis-
dc.subject.MESHRecovery of Function-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTemporal Bone/injuries-
dc.subject.MESHTemporal Bone/surgery-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.titleThe effect of surgical timing on functional outcomes of traumatic facial nerve paralysis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Otorhinolaryngology (이비인후과학)-
dc.contributor.googleauthorJin Kim-
dc.contributor.googleauthorIn Seok Moon-
dc.contributor.googleauthorDae-Bo Shim-
dc.contributor.googleauthorWon Sang Lee-
dc.identifier.doi10.1097/TA.0b013e3181a8b2d9-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01010-
dc.contributor.localIdA02188-
dc.contributor.localIdA03000-
dc.relation.journalcodeJ01916-
dc.identifier.pmid20032793-
dc.identifier.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00005373-201004000-00027&LSLINK=80&D=ovft-
dc.contributor.alternativeNameKim, Jin-
dc.contributor.alternativeNameShim, Dae Bo-
dc.contributor.alternativeNameLee, Won Sang-
dc.contributor.affiliatedAuthorKim, Jin-
dc.contributor.affiliatedAuthorShim, Dae Bo-
dc.contributor.affiliatedAuthorLee, Won Sang-
dc.citation.volume68-
dc.citation.number4-
dc.citation.startPage924-
dc.citation.endPage929-
dc.identifier.bibliographicCitationJournal of Trauma, Vol.68(4) : 924-929, 2010-
dc.identifier.rimsid52645-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.