PMID: 6410330Jun 1, 1983Paper

The facial paralysis prognostic index

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
R J KerbavazK K Adour

Abstract

The treatment of facial paralysis requires a reliable estimate of prognosis as well as an accurate diagnosis. Although the majority of patients recover, the degree of subsequent facial function varies. An estimation of the risk of nerve degeneration and subsequent disability is needed to guide therapy and to advise patients. Currently, prognosis is obtained by clinical evaluation of initial signs and symptoms, specific nerve excitability and function testing, and response to medical therapy. This study attempts to identify and quantitate factors that predict the outcome of facial paralysis. In 1214 patients with Bell's palsy, we identified factors associated with a severe course or poor outcome. We analyzed the predictive value of each item in an extensive research protocol, estimating the relative contribution to the total risk of unfavorable outcome by means of multiple regression models. With the use of these data, we have developed the facial paralysis prognostic index (FPPI). The FPPI can assist otologists to more accurately estimate outcome based on physical examination and electrical testing.

References

May 1, 1978·The Laryngoscope·K K AdourM I Sheldon
Dec 21, 1972·The New England Journal of Medicine·K K AdourJ P Hurley
May 1, 1971·The Laryngoscope·B R AlfordS C Weber
Jul 1, 1982·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·K K Adour, C Diamond
May 1, 1982·Acta Oto-laryngologica·D HydénL M Odkvist
May 1, 1961·Scientific American·R L FANTZ
Sep 1, 1963·The Annals of Otology, Rhinology, and Laryngology·K KETTEL

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Citations

Dec 1, 1983·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J A Stankiewicz
Oct 1, 1990·Postgraduate Medicine·J C Morgenlander, E W Massey
Jul 4, 2009·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Kaori KanayaTatsuya Yamasoba
Oct 31, 2008·Yonsei Medical Journal·Chang Il ChaSeung Geun Yeo
Jun 11, 2011·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Konstantinos MantsopoulosJannis Constantinidis
Nov 26, 2016·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·S A ChoiS G Yeo
Mar 27, 2003·The Annals of Otology, Rhinology, and Laryngology·Sara AxelssonAnna Stjernquist-Desatnik
Dec 18, 2013·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Eun Jung Lee, Yong Joo Yoon
May 12, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Koichiro WasanoKaoru Ogawa
Feb 3, 2004·Muscle & Nerve·James M Gilchrist, George M Sachs
Jun 9, 2009·BMC Neurology·Ru-Lan HsiehWen-Chung Lee
Oct 1, 1986·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R B RobillardK K Adour
Apr 5, 2002·The Journal of Emergency Medicine·Mark A HostetlerMark R Denison

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