ArticleHead & face medicine2025
Outcome of different facial nerve managements in petrous bone cholesteatoma patients with facial paralysis.
Article in Head & face medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundActive Facial nerve (FN) management, including decompression, end-to-end or rerouting anastomosis, and grafting consistently plays an important role in the surgical management of petrous bone cholesteatoma (PBC), and postoperative FN function is also a major concern for surgeons. The aim of this study is to analyze the long-term FN function outcomes in PBC patients with FN paralysis who have underwent different managements and to explore the prognostic factors.
methodsA retrospective analysis of 160 PBC patients with preoperative FN paralysis was conducted, and long-term FN function outcome was evaluated. Multivariate ordinal logistic regression models were used to determine the prognostic factors.
results160 patients were collected. 102 males (63.75%) and 58 females (36.25%) with mean age 34.09 ± 13.54 years (range: 5.58-77 years). Mean FN paralysis duration preoperatively was 62.5 ± 90.80 months (range: 4 days-46 years). The preoperative/postoperative House-Brackmann (H-B) grade are as follows: H-B (I-II): 0/38 cases, H-B III: 11/37 cases, H-B IV: 22/38 cases, H-B V: 21/14 cases. H-B VI: 106/33 cases. The poorer preoperative FN function, the poorer postoperative FN function (r
conclusionsPatients with FN paralysis can undergo active FN management to reconstruct FN function, depending on the preoperative FN function and the duration of FN paralysis. Worse preoperative FN function and longer duration of FN paralysis (P < 0.05) are risk factors for poorer prognosis.
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