JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (6): 18-21.doi: 10.6040/j.issn.1673-3770.0.2016.160

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A systematic review of surgical timing of traumatic facial paralysis.

XIE Shaobing, ZHANG Yanni, XU Zhenhang, ZHANG Jianhui, WU Xuewen, SUN Hong   

  1. Department of Otolaryngology &Head and Neck Surgery, Xiangya Hospital, Central South University / Hunan Province Key Laboratory of Otolaryngology Critical Diseases, Changsha 410008, Hunan, China
  • Received:2016-04-09 Online:2016-12-16 Published:2016-12-16

Abstract: Objective To review the timing of surgical decompression. Methods Databases including Pubmed, EMBASE, Cochrane, CNKI, Wanfang database and Weipu database were searched to collect studies on surgical timing of traumatic facial paralysis which were published from the inception of databases to March 2016. The surgical timings were classified into 4 groups: <2 weeks, 2 weeks~1 month, 1-2 months and >2 months. Results A total of 8 studies involving 145 patients(145 cases)were included. Of all patients, 56(38.6%)achieved complete recovery(House-Brackmanm, H-B Ⅰ). Good results(H-B Ⅰ and Ⅱ)were achieved in 96.8%(30/31)patients who received surgery within 2 weeks versus 64.9%(74/114)patients who received surgery after >2 weeks, showing a statistical difference(P<0.001). Conclusion The ideal timing of surgical decompression for traumatic facial paralysis is within 2 weeks after trauma. Surgical intervention performed within 2 months results in good clinical prognosis.

Key words: Traumatic facial paralysis, Systematic review, Surgical decompression, Surgical timing

CLC Number: 

  • R745.1
[1] Cannon R B, Thomson R S, Shelton C, et al. Middle fossa repair outcomes of traumatic facial nerve paralysis[J]. Otolaryngol Head Neck Surg, 2015, 153(1):103-104.
[2] Chang C Y, Cass S P. Management of facial nerve injury due to temporal bone trauma[J]. Am J Otol, 1999, 20(1):96-114.
[3] Hato N, Nota J, Hakuba N, et al. Facial nerve decompression surgery in patients with temporal bone trauma: analysis of 66 cases[J]. J Trauma, 2011, 71(6):1792-1793.
[4] 沈志森, 张宇园, 王侃, 等. 面神经减压治疗周围性面瘫32例临床分析[J]. 中华耳科学杂志, 2008, 6(4):428-430. SHEN Zhisen, ZHANG Yuyuan, WANG Kan, et al. Facial nerve decompression for peripheral facial paralysis in 32 cases[J]. Chin J Otology, 2008, 6(4):428-430.
[5] Aslan H, Songu M, Eren E, et al. Results of decompression with middle cranial fossa approach or traumatic intratemporal facial nerve injury[J]. J Craniofac Surg, 2014, 25(4):1305-1308.
[6] Kim J, Moon I S, Shim D B, et al. The effect of surgical timing on functional outcomes of traumatic facial nerve paralysis[J]. J Trauma, 2010, 68(4): 924-929.
[7] 魏宏权, 于何, 任重, 等. 面神经减压术治疗颞骨骨折性面瘫的手术时机[J]. 临床耳鼻咽喉科杂志, 2003, 17(7):411-413. WEI Hongquan, YU He, REN Zhong, et al. Operation occasion of facial nerve decompression on the treatment of facial paralysis in temporal bone fracture[J]. J Clin Otorhinolaryngol, 2003, 17(7):411-413.
[8] 万良财, 李永贺, 谢南屏, 等. 面神经减压术治疗颞骨外伤性面瘫[J]. 广东医学, 2010, 31(3):349-351. WAN Liangcai, LI Yonghe, XIE Nanping, et al. Decompression for the treatment of temporal traumatic facial paralysis[J]. Guangdong Med J, 2010, 31(3):349-351.
[9] 宋之瑶, 李健东, 尹金淑, 等. 面神经次全程减压术治疗颞骨外伤性面瘫[J]. 中国耳鼻咽喉头颈外科杂志, 2014, 21(5):245-248. SONG Zhiyao, LI Jiandong, YIN Jinshu, et al. Facial nerve subtotal decompression surgery in patients with facial nerve paralysis after temporal bone trauma[J]. Chin Arch Otolaryngol Head Neck Surg, 2014, 21(5):245-248.
[10] Ulug T, Arif U S. Management of facial paralysis in temporal bone fractures: a prospective study analyzing 11 operated fractures[J]. Am J Otolaryngol Head Neck Med Surg, 2005, 26(4):230-238.
[11] House J W, Brackmann D E. Facial nerve grading system[J]. Otolaryngol Head Neck Surg, 1985, 93(2):146-147.
[12] Phillips B. GRADE: levels of evidence and grades of recommendation[J]. Arch Dis Child, 2004, 89:489-494.
[13] Quaranta A, Campobasso G, Piazza F, et al. Facial nerve paralysis in temporal bone fractures: outcomes after late decompression surgery[J]. Acta Otolaryngol, 2001, 121(5):652-655.
[14] Ashram Y A, Badr-El-Dine M M. Surgery for traumatic facial nerve paralysis: does intraoperative monitoring have a role?[J]. Eur Arch Otorhinolaryngol, 2014, 271(9):1-10.
[15] Yetiser S. Total facial nerve decompression for severe traumatic facial nerve paralysis: a review of 10 cases[J]. Int J Otolaryngol, 2012, 2012:607359.
[16] 方瑾, 潘军燕, 陈晓红, 等. 面神经减压术治疗周围性面瘫15例临床分析[J]. 中华耳科学杂志, 2014, 12(2):296-299. FAN Jin, PAN Junyan, CHEN Xiaohong, et al. Results of facial nerve microsurgery for peripheral facial palsy in 15 patients[J]. Chin J Otology, 2014, 12(2):296-299.
[17] Farrior J B, Caldwell P C. Facial nerve paralysis resulting from fractures of the temporal bone: report of a case[J]. New Orleans Med Sci J, 1947, 100:23-25.
[18] Liu Y, Han J, Zhou X, et al. Surgical management of facial paralysis resulting from temporal bone fractures[J]. Acta Otolaryngol, 2014, 134(6):656-660.
[19] 沈志森. 周围性面瘫的诊断与手术时机[J]. 现代实用医学, 2010, 22(8):849-852. SHEN Zhisen. Diagnosis and surgical timing of peripheral facial paralysis[J]. Modern Pra Med, 2010, 22(8):849-852.
[20] Nash J J, Friedland D R, Boorsma K J, et al. Management and outcomes of facial paralysis from intratemporal blunt trauma: a systematic review[J]. Laryngoscope, 2010, 120(4):1397-1404.
[21] Darrouzet V, Duclos J Y, Liguoro D, et al. Management of facial paralysis resulting from temporal bone fractures: our experience in 115 cases[J]. Otolaryngol Head Neck Surg, 2001, 125(1):77-84.
[22] Mehta R P. Surgical treatment of facial paralysis[J]. Clin Exp Otorhinolaryngol, 2009, 2(1):1-5.
[23] Yeoh T L, Mahmud R, Saim L. Surgical intervention in traumatic facial nerve paralysis[J]. Med J Malaysia, 2004, 58(3):432-438.
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