Evidence map›Paper›PMID 40287586›Full record

SynthesisEuropean 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 Surgery2025

Therapeutic management of traumatic facial palsy: a systematic review.

Alice Ottavi, Anna Cozzi, Fabiana Allevi, Christian Calvo-Henriquez, Carlos Chiesa-Estomba, Giovanni Felisati, Jerome R Lechien, Antonino Maniaci, Miguel Mayo-Yáñez, Giancarlo Pecorari and 4 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis 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, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Alice Ottavi *Otorhinolaryngology Unit, Department of Health Sciences, Santi Paolo e Carlo Hospital, University of Milan, Milan, Italy.
Anna Cozzi *Otorhinolaryngology Unit, Department of Health Sciences, Santi Paolo e Carlo Hospital, University of Milan, Milan, Italy.
Fabiana AlleviMaxillofacial Surgery Unit, Department of Health Sciences, Santi Paolo e Carlo Hospital, Università degli Studi di Milano, Milan, Italy.
Christian Calvo-HenriquezService of Otolaryngology, Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain.
Carlos Chiesa-EstombaDepartment of Otolaryngology-Head and Neck Surgery, San Sebastian University Hospital, San Sebastian, Spain.
Giovanni FelisatiOtorhinolaryngology Unit, Department of Health Sciences, Santi Paolo e Carlo Hospital, University of Milan, Milan, Italy.
Jerome R LechienDepartment of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Brussels, Belgium.
Antonino ManiaciFaculty of Medicine and Surgery, University of Enna "Kore", Enna, Italy.
Miguel Mayo-YáñezOtorhinolaryngology - Head and Neck Surgery Department, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Galicia, 15006, Spain.
Giancarlo PecorariOtorhinolaryngology Unit, Department of Surgical Sciences, University of Turin, Turin, Italy.
Giuseppe RivaOtorhinolaryngology Unit, Department of Surgical Sciences, University of Turin, Turin, Italy.
Luigi Angelo VairaMaxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, Sassari, Italy.
Alberto Maria Saibene *Otorhinolaryngology Unit, Department of Health Sciences, Santi Paolo e Carlo Hospital, University of Milan, Milan, Italy.
Anastasia Urbanelli *Otorhinolaryngology Unit, Department of Surgical Sciences, University of Turin, Turin, Italy. anastasia.urbanelli@unito.it.ORCID http://orcid.org/0000-0001-8869-5916

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTrauma is a common cause of facial nerve palsy, accounting for 3% of all cases. While many facial palsies resolve with medical treatment, some require surgical intervention. This systematic review aimed to determine the best therapeutic strategy for traumatic facial palsy.

methodsWe reviewed eligible articles for patient demographics, pre-treatment assessment, parameters of selected treatment, type of treatment, outcomes, and post-treatment assessment.

resultsAmong 135 unique citations, 32 studies were considered eligible, reporting treatment data for 2079 patients. Most studies (n = 30) were case series. The main proposed therapeutic strategies were medical, surgical, or a combination of both. For almost all the selected studies, the House-Brackmann (HB) scale was used to estimate the severity of facial palsy.

conclusionBased on the existing literature, a standardized guideline for the treatment of traumatic facial palsy is not well delineated, due to the extreme heterogeneity of available therapeutic choices and the lack of standardized patient stratification.

Indexed as

Facial Nerve InjuriesFacial ParalysisHumansFacial nerveFacial nerve injuryFacial palsyFacial paralysisTraumatic facial palsy

Identifiers

PMID40287586
PMCPMC12423164

What OpenQuestion holds

Textmetadata
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.