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PubMed · 12391623

Facial paralysis.

James E Benecke
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Abstract

This discussion of facial paralysis as it relates to otology and neuro-otology is a mere primer of all that is known about this complex topic. It is hoped that this discussion has provided the reader with a foundation for evaluating and initiating management for the more common facial nerve disorders. It is further hoped that this less-than-exhaustive discussion will stimulate the reader to continue to study the anatomy and pathology of the facial nerve.

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Facial ParalysisHumansIatrogenic DiseaseJournal ArticleReview

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BibTeXRIS

James E Benecke. 2002. Facial paralysis.. https://doi.org/10.1016/s0030-6665(02)00003-8

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PubMed2003

Facial nerve stimulation and postparotidectomy facial paresis.

OBJECTIVE: We sought to evaluate the association of intraoperative facial nerve stimulation and postoperative facial nerve paresis/paralysis. STUDY DESIGN AND SETTING: Eighty-nine consecutive patients who underwent parotidectomy by a single surgeon were retrospectively analyzed for age, gender, size of tumor, tumor histology, and intraoperative use of a facial nerve stimulator. RESULTS: Facial paresis developed in 22% (10 of 46) of the patients who were stimulated and 22% (5 of 23) of the nonstimulated patients. These results were not statistically significant (P = 1.0000). There was no permanent paralysis in either group. The tumor type and size and gender and age of the patient did not affect the outcome. CONCLUSION: There was no difference in the incidence of postoperative facial nerve paresis or paralysis between the stimulated and nonstimulated patients. Routine use of a stimulator is not necessary during parotid surgery because its use does not prevent or promote facial nerve injury.

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