Zulin Tan1, Yang Zhang1, Wei Chen1, Weixi Gong1, Jiapeng Zhao2, Xianrong Xu3. 1. Department of Otorhinolaryngology, General Hospital of Air Force, Beijing, P.R.C. 2. Department of Neurosurgery Third Affiliated Hospital of Xinxiang Medical College, Xinxiang City, Henan Province P.R.C. 3. The Center of Clinical Aviation Medicine, General Hospital of Air Force, Beijing, P.R.C. Electronic address: xuxianrongkz@sina.com.
Abstract
OBJECTIVE: To study the role of total facial nerve decompression in preventing further recurrence of facial palsy in Melkersson Rosenthal syndrome (MRS). METHODS: Total facial nerve decompression was performed on nine patients with recurrent facial palsy in MRS, and prednisolone treatment was given to 6 cases who declined surgery. They were incorporated into surgery group and control group, respectively. Patients in surgery group and control group were followed up for 5.4 ± 1.4 years (range, 4 to 8 years) and 6.0 ± 1.4 years (range, 4 to 8 years), respectively. RESULTS: Further episodes of facial palsy affected none of 9 cases (0.0%) in surgery group, while they affected 3 of 6 cases (50.0%) in control group, with significant difference (p<0.05). CONCLUSIONS: Total facial nerve decompression was effective to prevent further episodes of facial palsy in MRS.
OBJECTIVE: To study the role of total facial nerve decompression in preventing further recurrence of facial palsy in Melkersson Rosenthal syndrome (MRS). METHODS: Total facial nerve decompression was performed on nine patients with recurrent facial palsy in MRS, and prednisolone treatment was given to 6 cases who declined surgery. They were incorporated into surgery group and control group, respectively. Patients in surgery group and control group were followed up for 5.4 ± 1.4 years (range, 4 to 8 years) and 6.0 ± 1.4 years (range, 4 to 8 years), respectively. RESULTS: Further episodes of facial palsy affected none of 9 cases (0.0%) in surgery group, while they affected 3 of 6 cases (50.0%) in control group, with significant difference (p<0.05). CONCLUSIONS: Total facial nerve decompression was effective to prevent further episodes of facial palsy in MRS.
Authors: Salvatore Savasta; Alessandra Rossi; Thomas Foiadelli; Amelia Licari; Anna Maria Elena Perini; Giovanni Farello; Alberto Verrotti; Gian Luigi Marseglia Journal: Int J Environ Res Public Health Date: 2019-04-10 Impact factor: 3.390