Evidence map›Paper›PMID 32270328›Full record

GuidelineEuropean 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 Surgery2020

Facial nerve electrodiagnostics for patients with facial palsy: a clinical practice guideline.

Orlando Guntinas-Lichius, Gerd Fabian Volk, Kerry D Olsen, Antti A Mäkitie, Carl E Silver, Mark E Zafereo, Alessandra Rinaldo, Gregory W Randolph, Ricard Simo, Ashok R Shaha and 2 more

Registry-linked trialAbstract readPractice Guideline
In one paragraph

Guideline in 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, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07514117 (Electroacupuncture With Different Pulse Patterns for the Post-acute Phase of Bell's Palsy), which is not on this map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07514117 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Electroacupuncture With Different Pulse Patterns for the Post-acute Phase of Bell's Palsy: a Study Protocol for a Randomized Controlled Trial With Surface Electromyography Evaluation

TypeinterventionalSponsorThe First Affiliated Hospital of Zhejiang Chinese Medical UniversityRan2026 to 2027Enrolled111ConditionsBell PalsyArmssham EA, Electroacupunture(continuous pulse pattern), Electroacupuncture(intermittent pulse pattern)
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Integration of five electrophysiological test results for predicting outcome of patients with Bell's Palsy.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 · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Orlando Guntinas-LichiusDepartment of Otorhinolaryngology, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany. orlando.guntinas@med.uni-jena.de.
Gerd Fabian VolkDepartment of Otorhinolaryngology, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.
Kerry D OlsenDepartment of Otorhinolaryngology, Mayo Clinic, Rochester, USA.
Antti A MäkitieDepartment of Otorhinolaryngology-Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Carl E SilverDepartment of Surgery, University of Arizona College of Medicine, Phoenix, USA.
Mark E ZafereoHead and Neck Surgery, MD Anderson Cancer Center, Houston, USA.
Alessandra RinaldoUniversity of Udine School of Medicine, Udine, Italy.
Gregory W RandolphDivision of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, USA.
Ricard SimoDepartment of Head and Neck Surgery, Guys and St Thomas' NHS Trust, London, UK.
Ashok R ShahaHead and Neck Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Vincent Vander PoortenMultidisciplinary Salivary Gland Society, Geneva, Switzerland.
Alfio FerlitoInternational Head and Neck Scientific Group, Padua, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFacial nerve electrodiagnostics is a well-established and important tool for decision making in patients with facial nerve diseases. Nevertheless, many otorhinolaryngologist-head and neck surgeons do not routinely use facial nerve electrodiagnostics. This may be due to a current lack of agreement on methodology, interpretation, validity, and clinical application. Electrophysiological analyses of the facial nerve and the mimic muscles can assist in diagnosis, assess the lesion severity, and aid in decision making. With acute facial palsy, it is a valuable tool for predicting recovery.

methodsThis paper presents a guideline prepared by members of the International Head and Neck Scientific Group and of the Multidisciplinary Salivary Gland Society for use in cases of peripheral facial nerve disorders based on a systematic literature search.

resultsRequired equipment, practical implementation, and interpretation of the results of facial nerve electrodiagnostics are presented.

conclusionThe aim of this guideline is to inform all involved parties (i.e. otorhinolaryngologist-head and neck surgeons and other medical specialists, therapeutic professionals and the affected persons) and to provide practical recommendations for the diagnostic use of facial nerve electrodiagnostics.

Indexed as

Bell PalsyFacial ParalysisFacial NerveHumansBell’s palsyDiagnosticsElectromyographyElectroneurographyElectrostimulationFacial nerveFacial paralysisRecommendations

Identifiers

PMID32270328
PMCPMC7286870

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.