Evidence map›Paper›PMID 34945024›Full record

ArticleJournal of clinical medicine2021

Correlation between Electrophysiological Change and Facial Function in Parotid Surgery Patients.

Feng-Yu Chiang, Chih-Chun Wang, Che-Wei Wu, I-Cheng Lu, Pi-Ying Chang, Yi-Chu Lin, Ching-Feng Lien, Chien-Chung Wang, Tzu-Yen Huang, Tzer-Zen Hwang

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 33% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. 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

10 authors at 3 institutions in 1 country.

Feng-Yu ChiangDepartment of Otolaryngology-Head and Neck Surgery, E-Da Hospital, Kaohsiung 824, Taiwan.
Chih-Chun WangDepartment of Otolaryngology-Head and Neck Surgery, E-Da Hospital, Kaohsiung 824, Taiwan.
Che-Wei WuDepartment of Otolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan.ORCID 0000-0003-1052-5348
I-Cheng LuDepartment of Anesthesiology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University Hospital, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan.ORCID 0000-0001-6643-1071
Pi-Ying ChangDepartment of Anesthesiology, Kaohsiung Municipal Tatung Hospital, Kaohsiung Medical University Hospital, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 801, Taiwan.
Yi-Chu LinDepartment of Otolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan.
Ching-Feng LienDepartment of Otolaryngology-Head and Neck Surgery, E-Da Hospital, Kaohsiung 824, Taiwan.ORCID 0000-0001-8245-5495
Chien-Chung WangDepartment of Otolaryngology-Head and Neck Surgery, E-Da Hospital, Kaohsiung 824, Taiwan.
Tzu-Yen HuangDepartment of Otolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan.ORCID 0000-0002-5044-0325
Tzer-Zen HwangDepartment of Otolaryngology-Head and Neck Surgery, E-Da Hospital, Kaohsiung 824, Taiwan.
E-Da Hospital · TWKaohsiung Medical University · TWKaohsiung Medical University Chung-Ho Memorial Hospital · TW

Funding

Kaohsiung Medical University Hospital, Kaohsiung Medical University KMUH108-8M48, KMUH109-9M44Kaohsiung Municipal Siaogang Hospital/Kaohsiung Medical University Research Center grants KMHK-DK(C)110009, I-109-04, H-109-05, I-108-02Ministry of Science and Technology, Taiwan MOST 108-2628-B-037-006, MOST 109-2628-B-037-014, MOST 110-2314-B-037-104-MY2, MOST 110-2314-B-037-120
6 · The paper itself

Abstract

This observational study investigated intraoperative electrophysiological changes and their correlation with postoperative facial expressions in parotidectomy patients with visual confirmation of facial nerve (FN) continuity. Maximal electromyography(EMG) amplitudes of the facial muscles corresponding to temporal, zygomatic, buccal and mandibular branches were compared before/after FN dissection, and facial function at four facial regions were evaluated before/after parotidectomy in 112 patients. Comparisons of 448 pairs of EMG signals revealed at least one signal decrease after FN dissection in 75 (67%) patients. Regional facial weakness was only found in 13 of 16 signals with >50% amplitude decreases. All facial dysfunctions completely recovered within 6 months. EMG amplitude decreases often occur after FN dissection. An amplitude decrease >50% in an FN branch is associated with a high incidence of dysfunction in the corresponding facial region. This study tries to establish a standard facial nerve monitoring (FNM) procedure and a proper facial function grading system for parotid surgery that will be useful for the future study of FNM in parotid surgery.

Indexed as

electromyography (EMG)facial expressionfacial grading systemfacial nerve monitoring (FNM)parotidectomy

Identifiers

PMID34945024
PMCPMC8703742
OpenAlexW4200500857

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.