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Factors influencing the efficacy of facial nerve decompression

WANG Jing-jing， FENG Yan-mei， WU Ya-qin， WANG Hui， SHI Hai-bo， CHEN Zheng-nong， YIN Shan-kai   

  1. Department of ENT Head and Neck Surgery, Shanghai Sixth Peoples Hospital, Shanghai Jiao Tong University, Shanghai Hearing Test Centre, Institute of Otolaryngology, Shanghai Jiao Tong University, Shanghai 200233, China
  • Online:2016-09-28 Published:2016-10-31
  • Supported by:

    Shanghai Municipal Education Commission—Gaofeng Clinical Medicine Grant Support, 20152525；Shanghai Pujiang Talents Program，15PJD030

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Abstract:

Objective·To explore factors influencing the efficacy of facial nerve decompression. Methods·Thirty-two patients with peripheral facial palsy who underwent facial nerve decompression in the Department of ENT Head and Neck Surgery at Shanghai Sixth Peoples Hospital affiliated to Shanghai Jiao Tong University between 2013 and 2015 were included in this study. The House-Brackmann facial nerve grade was used as the evaluation standard to analyzed factors such as course of disease, age, sex, cause of disease, and results of pre-operative facial nerve ENoG test. Results·Univariate and multivariate analysis revealed that the efficacy of decompression performed within 8 weeks of the onset of facial palsy was much better than that after 8 weeks and the difference was statistically significant. Other factors did not influence the efficacy of facial nerve decompression. Conclusion·The timing of surgery is a factor influencing the efficacy of facial nerve decompression surgery.

Key words: facial nerve decompression, peripheral facial palsy, efficacy