Evidence map›Paper›PMID 32355994›Full record

ArticleEuropean 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

Endoscopic facial nerve decompression in post-traumatic facial palsies: pilot clinical experience.

Matteo Alicandri-Ciufelli, Matteo Fermi, Flavia Di Maro, Davide Soloperto, Daniele Marchioni, Livio Presutti

Abstract read
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In one paragraph

Article 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. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

  1. Therapeutic management of traumatic facial palsy: a systematic review.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
    Pooled it
  2. Article
  3. Extent of facial nerve decompression at the geniculate ganglion and labyrinthine segment via transmastoid supralabyrinthine approach: cadaveric study.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 · 2026
    Article
  4. Navigating Post-Traumatic Facial Nerve Palsy: Insights from a Case Series on Management and Recovery Strategies.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  5. Facial Nerve Function and Hearing Following Facial Nerve Decompression for Traumatic Facial Nerve Palsy Through Posterior Tympanotomy Approach: A Descriptive Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  6. Article
  7. Surgical and nonsurgical treatment outcomes in traumatic facial nerve 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 · 2023
    Article
  8. Total Transcanal Endoscopic Approach for Selective Facial Nerve Decompression in Traumatic Facial Nerve Palsy.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  9. Article
  10. Suprameatal-transzygomatic root endoscopic approach to the geniculate ganglion: an anatomical and radiological study.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 · 2022
    Article
  11. Endoscopic tympanoplasty type I for tympanic perforations: analysis of prognostic factors.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 · 2021
    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

6 authors.

Matteo Alicandri-CiufelliOtorhinolaryngology Head and Neck Surgery Department, University Hospital of Modena, Largo del Pozzo 71, 41100, Modena, Italy.ORCID https://orcid.org/0000-0002-3479-297X
Matteo FermiOtorhinolaryngology Head and Neck Surgery Department, University Hospital of Modena, Largo del Pozzo 71, 41100, Modena, Italy. matteo.fermi.med@gmail.com.ORCID https://orcid.org/0000-0002-2727-0321
Flavia Di MaroOtorhinolaryngology Head and Neck Surgery Department, University Hospital of Verona, Piazzale Aristide Stefani 1, 37126, Verona, Italy.
Davide SolopertoOtorhinolaryngology Head and Neck Surgery Department, University Hospital of Verona, Piazzale Aristide Stefani 1, 37126, Verona, Italy.
Daniele MarchioniOtorhinolaryngology Head and Neck Surgery Department, University Hospital of Verona, Piazzale Aristide Stefani 1, 37126, Verona, Italy.ORCID https://orcid.org/0000-0002-8004-7284
Livio PresuttiOtorhinolaryngology Head and Neck Surgery Department, University Hospital of Modena, Largo del Pozzo 71, 41100, Modena, Italy.ORCID https://orcid.org/0000-0002-2752-132X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePost-traumatic facial nerve (FN) paralysis might need surgical decompression in selected patients. Different microscope-based surgical techniques are described in the literature such as the transmastoid, the middle cranial fossa and the translabyrinthine approach. The effectiveness of the transcanal endoscopic approach (TEA) in managing such condition has never been described and its possible indications has to be defined.

methodsRetrospective multi-centric case series of patients with post-traumatic FN paralysis surgically treated with TEA. From July 2013 to July 2017, 6 patients underwent TEA for post-traumatic FN paralysis with involvement of the second genu and/or the tympanic segment of the nerve. The surgical technique is described step by step, with focus on anatomic landmarks. Post-operative outcomes are specified in terms of FN postoperative function and audiologic results.

resultsThe TEA showed to recover a House-Brackmann grade I-II FN function in 83.2% of the patient. Post-operative air-bone gap significantly improved; whereas, the pure-tone average bone conduction did not differ significantly.

conclusionsTEA represents a viable option for the treatment of post-traumatic facial palsy in patients with radiologic evidence of tympanic segment and/or perigeniculate region involvement with no involvement of the mastoid segment of the FN. Transcanal endoscopic facial nerve decompression is a safe and effective approach in highly selected cases. LEVEL OF EVIDENCE: 4.

Indexed as

Facial Nerve InjuriesFacial ParalysisDecompression, SurgicalFacial NerveHumansRetrospective StudiesConductive hearing lossFacial nerveSkull baseSurgical endoscopyTympanoplasty

Identifiers

PMID32355994

What OpenQuestion holds

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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.