Delayed transmastoid facial nerve decompression surgery in patients with Ramsay-Hunt syndrome presenting with neurophysiologically complete paralysis

Acta Oto-laryngologica
Yoshihiko KumaiYorihisa Orita

Abstract

To determine the efficacy of delayed transmastoid facial nerve decompression in patients with Ramsay Hunt Syndrome (RHS) presenting with complete facial paralysis. Twenty-five RHS patients with complete facial nerve paralysis presenting electroneuronographic (ENoG) degeneration ≥90% underwent transmastoid facial nerve decompression more than 3 weeks after the onset of paralysis. The principal features measured were 12 months pre- and post-operative House-Brackmann (HB) grades and the presence of a direct intraoperative neural response (INR) prior to decompression procedure. Correlations between these parameters, and the time between symptom onset and surgery (within or later than 30 and 50 d) were statistically analyzed. Of the 25 patients 13 (52%) exhibited good recovery (HB grade I or II) at 12 months-post-operatively. The timing of decompression generally did not significantly influence outcome but patients treated within 50 d of symptom onset enjoyed better outcomes than those treated later (p = .047). The presence of an INR significantly influenced outcomes (p = .0003). The success of delayed transmastoid facial nerve decompression in RHS patients was not affected between 25-30 and 30-40 d from symptom onset but was compro...Continue Reading

References

Aug 1, 1988·Clinical Otolaryngology and Allied Sciences·P P Devriese, W H Moesker
Mar 10, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·N YanagiharaN Honda
Oct 7, 2008·Acta Oto-laryngologica·Jin KimWon-Sang Lee
Oct 5, 2010·Acta otorrinolaringológica española·Rafael Luis BoemoEnrique Perelló Scherdel
Sep 1, 2015·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Sang Hoon KimSeung Geun Yeo
Oct 18, 2016·International Archives of Otorhinolaryngology·Rafael da Costa MonsantoRaquel Salomone

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Citations

Oct 22, 2020·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·A L GusevaO S Levin
May 7, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Maya ZaidmanRonald M Zuker

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