Abstract
Background: The long-term outcomes of total facial nerve decompression (TFND) in severe idiopathic recurrent facial palsy (IRFP) are still unknown.
Aims/objectives: To explore the long-term follow-up results of TFND in IRFP.
Materials and methods: Twenty-eight patients suffering from severe IRFP were enrolled. Patients were offered conventional therapy or TFND and were categorized into control or operation group. The follow-up lasted for at least 6 years. Comparison was made in terms of relapse of facial palsy as well as outcomes of facial nerve.
Results: There were 16 participants in operation group, whose follow-up lasted for 10.4 ± 1.3 years. In contrast, there were 12 participants in control group, who were followed up lasted for 11.2 ± 1.2 years. No participants suffered relapse in the operation group while seven out of 12 participants (58.3%) encountered relapse with regard to control group (p < .05). In terms of facial nerve results, 16 out of 18 participants (88.9%) reached satisfactory outcomes of facial nerve (HB grade I or II) while only four out of 12 participants (33.3%) achieved satisfactory outcomes in control group (p < .05).
Conclusions and significance: In terms of severe IRFP, TFND can defend patients from relapse in a long period, and enhance recovery of facial nerve.
背景:对严重特发性复发性面神经麻痹(IRFP)病人进行全面神经减压(TFND)的长期结果尚不清楚。
目的:探索对IRFP进行的TFND的长期随访结果。
材料和方法:招募了28名患有严重IRFP的患者。患者接受常规治疗或TFND, 分别归为对照组和手术组。随访持续至少6年。于面神经麻痹的复发以及面神经的结果两个方面进行了比较。
结果:手术组有16名参与者, 随访时间为10.4±1.3年。相比之下, 对照组有12名参与者, 随访时间为11.2±1。2年。在手术组中无参与者复发, 而对照组12名参与者中有7名(58.3%)复发(p <.05)。在面神经结果方面, 18名参与者中有16名(88.9%)达到了令人满意的面神经结果(HB I级或II级), 而对照组12名参与者中只有4名(33.3%)取得了满意的结果(p <。 05)。
结论和意义:对于严重IRFP患者, TFND可以长期避免患者复发, 增强面神经的恢复。
Disclosure statement
No potential conflict of interest was reported by the authors.