Bell's palsy surgery: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
Surgical intervention is not recommended for the management of all patients with 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. [[Surgery]] is usually reserved when degeneration of [[facial nerve]] reaches 90% to 94% within one to 21 days after onset of the symptoms of Bell's palsy or when presence of a [[tumor]] is suspected or when there is high probability of [[nerve]] [[ischemia]]. | ||
== | ==Surgery== | ||
*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> | *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> | ||
== | *[[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|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> | |||
==References== | ==References== | ||
Latest revision as of 16:30, 21 May 2018
|
Bell's palsy Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Bell's palsy surgery On the Web |
|
American Roentgen Ray Society Images of Bell's palsy surgery |
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. Surgery is usually reserved when degeneration of facial nerve reaches 90% to 94% within one to 21 days after onset of the symptoms of Bell's palsy or when presence of a tumor is suspected or when there is high probability of nerve ischemia.
Surgery
- Surgical intervention is not recommended for the management of all patients with Bell's palsy as spontaneous recovery occurs in most cases.[1]
- Surgery is usually reserved for patients with either:
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.