Bell's palsy surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgical intervention is not recommended for the management of Bell's palsy as spontaneous recovery occurs in most cases. | Surgical intervention is not recommended for the management of all patients with Bell's palsy as spontaneous recovery occurs in most cases. | ||
==Indications== | ==Indications== | ||
*Surgical intervention is not recommended for the management of Bell's palsy as spontaneous recovery occurs in most cases. | *Surgical intervention is not recommended for the management of all patients with Bell's palsy as spontaneous recovery occurs in most cases.<ref name="pmid24132718">{{cite journal| author=McAllister K, Walker D, Donnan PT, Swan I| title=Surgical interventions for the early management of Bell's palsy. | journal=Cochrane Database Syst Rev | year= 2013 | volume= | issue= 10 | pages= CD007468 | pmid=24132718 | doi=10.1002/14651858.CD007468.pub3 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24132718 }} </ref> | ||
OR | OR | ||
*Surgery is not the first-line treatment option for patients with | *Surgery is not the first-line treatment option for patients with Bell's palsy. Surgery is usually reserved for patients with either: | ||
** | **When degeneration of facial nerve reaches 90% to 94% within one to 21 days after onset of the symptoms of Bell's palsy.<ref name="pmid7469872">{{cite journal| author=Fisch U| title=Surgery for Bell's palsy. | journal=Arch Otolaryngol | year= 1981 | volume= 107 | issue= 1 | pages= 1-11 | pmid=7469872 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7469872 }} </ref> | ||
**When presence of a tumor is suspected<ref name="pmid6517138">{{cite journal| author=May M, Klein SR, Taylor FH| title=Indications for surgery for Bell's palsy. | journal=Am J Otol | year= 1984 | volume= 5 | issue= 6 | pages= 503-12 | pmid=6517138 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6517138 }} </ref> | |||
** | **When there is high probability of nerve ischemia<ref name="pmid23119892">{{cite journal| author=Grewal DS, Hathiram BT, Walvekar R, Mohorikar AV, Shroff M, Bahal NK| title=Surgical decompression in bell's palsy - our viewpoint. | journal=Indian J Otolaryngol Head Neck Surg | year= 2002 | volume= 54 | issue= 3 | pages= 198-203 | pmid=23119892 | doi=10.1007/BF02993103 | pmc=3450451 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23119892 }} </ref> | ||
** | |||
==Surgery== | ==Surgery== |
Revision as of 16:25, 21 May 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
Surgical intervention is not recommended for the management of all patients with Bell's palsy as spontaneous recovery occurs in most cases.
Indications
- Surgical intervention is not recommended for the management of all patients with Bell's palsy as spontaneous recovery occurs in most cases.[1]
OR
- Surgery is not the first-line treatment option for patients with Bell's palsy. Surgery is usually reserved for patients with either:
Surgery
- The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
- Surgery is the mainstay of treatment for [disease or malignancy].
Contraindications
References
- ↑ McAllister K, Walker D, Donnan PT, Swan I (2013). "Surgical interventions for the early management of Bell's palsy". Cochrane Database Syst Rev (10): CD007468. doi:10.1002/14651858.CD007468.pub3. PMID 24132718.
- ↑ Fisch U (1981). "Surgery for Bell's palsy". Arch Otolaryngol. 107 (1): 1–11. PMID 7469872.
- ↑ May M, Klein SR, Taylor FH (1984). "Indications for surgery for Bell's palsy". Am J Otol. 5 (6): 503–12. PMID 6517138.
- ↑ Grewal DS, Hathiram BT, Walvekar R, Mohorikar AV, Shroff M, Bahal NK (2002). "Surgical decompression in bell's palsy - our viewpoint". Indian J Otolaryngol Head Neck Surg. 54 (3): 198–203. doi:10.1007/BF02993103. PMC 3450451. PMID 23119892.