Evidence map›Paper›PMID 38914817›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 Surgery2024

Patterns and timing of recovery from facial nerve palsy after nerve-sparing parotid surgery: the role of neuromuscular retraining.

Giulia Molinari, Federico Calvaruso, Alice Barbazza, Elena Vanelli, Federica Nizzoli, Elena Reggiani, Monica Guidotti, Aurora Borghi, Daniele Marchioni, Livio Presutti and 1 more

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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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Predicting recovery in Bell's palsy: the impact of early rehabilitation and prognostic indicators.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
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  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

11 authors.

Giulia MolinariDepartment of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero - Universitaria di Bologna, Bologna, Italy.
Federico CalvarusoDepartment of Otorhinolaryngology - Head and Neck Surgery, University Hospital of Modena, Modena, Italy. fedecalva@gmail.com.ORCID http://orcid.org/0000-0003-2973-7412
Alice BarbazzaDepartment of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero - Universitaria di Bologna, Bologna, Italy.
Elena VanelliDepartment of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero - Universitaria di Bologna, Bologna, Italy.
Federica NizzoliDepartment of Otorhinolaryngology - Head and Neck Surgery, University Hospital of Modena, Modena, Italy.
Elena ReggianiDepartment of Otorhinolaryngology - Head and Neck Surgery, University Hospital of Modena, Modena, Italy.
Monica GuidottiDepartment of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero - Universitaria di Bologna, Bologna, Italy.
Aurora BorghiDepartment of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero - Universitaria di Bologna, Bologna, Italy.
Daniele MarchioniDepartment of Otorhinolaryngology - Head and Neck Surgery, University Hospital of Modena, Modena, Italy.
Livio PresuttiDepartment of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero - Universitaria di Bologna, Bologna, Italy.
Ignacio Javier FernandezDepartment of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero - Universitaria di Bologna, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAmong the complications of parotid surgery, facial palsy is frequent and burdened by high functional and social impact for the patient. There are few data on the efficacy of facial neuromuscular retraining (FNR) in patients with facial palsy after parotid surgery, and no data exist on its impact in timing and extent of recovery. MATERIAL AND

methodsA retrospective study was conducted on patients undergoing FN sparing parotid surgery and suffering from postoperative facial palsy. Among 400 patients undergoing surgery between July 2016 and May 2023, those with the preservation of the FN and onset of facial palsy were selected. Nerve function was evaluated during 2 years follow up using the House-Brackman (H&Bs) and Sunnybrook scales (SBs).

resultsA total of 46 patients undergoing partial or total parotidectomy were included. At discharge 18 patients (39,1%) had IV to VI grade paralysis according to the H&Bs and the mean SBs value was 54. At 2 and 6 months after surgery, the average value of Sunnybrook increased to 76.5 and 95.4 respectively. After 12 months no patients with IV to VI grade paralysis were represent in our cohort. Two years after surgery, only five patients (10.9%) had persistent grade II paralysis according to HBs.

conclusionsOur study supports the efficacy of FNR in the rehabilitation of facial paralysis after nerve-sparing parotidectomy. The greater functional improvement is achieved within the first 6 months of rehabilitation. A significant improvement is detected still after 18 months, supporting the importance of long rehabilitation for patients without complete recovery after the first year.

Indexed as

Facial ParalysisParotid GlandPostoperative ComplicationsRecovery of FunctionAdultAgedFacial NerveFemaleHumansMaleMiddle AgedOrgan Sparing TreatmentsParotid NeoplasmsRetrospective StudiesTime FactorsTreatment OutcomeFacial nerve palsyFacial nerve palsy rehabilitationMajor salivary glands surgeryNeuro-Muscolar-RetrainingParotid surgery

Identifiers

PMID38914817
PMCPMC11416383

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Registered trials

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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.