Differential Recovery in Early- and Late-Onset Delayed Facial Palsy Following Vestibular Schwannoma Resection
| Autor: | Ryojo Akagami, Stephano Chang, Ivan Despot, Charles Dong, Serge Makarenko, Brian D. Westerberg |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Adolescent Facial Paralysis Acoustic neuroma Late onset Facial Nerve Diseases Neurosurgical Procedures Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Humans Medicine 030223 otorhinolaryngology Aged Aged 80 and over Facial Nerve Injuries Palsy business.industry Bell Palsy Neuroma Acoustic Perioperative Middle Aged medicine.disease Facial nerve Facial paralysis Anesthesia Female Surgery Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Operative Neurosurgery. 18:34-40 |
| ISSN: | 2332-4260 2332-4252 |
| DOI: | 10.1093/ons/opz083 |
| Popis: | BACKGROUND Delayed facial palsy (DFP) after resection of vestibular schwannomas (VS) is worsening of facial nerve function after an initially normal postoperative result. OBJECTIVE To characterize different types of DFP, compare recovery rates, and review of series of outcomes in patients following resection of VS. METHODS Between 2001 and 2017, 434 patients (51% female) with VS underwent resection. We categorized the patients who developed facial palsy into groups based on timing of onset after surgery, immediate facial palsy (IFP), early-onset DFP (within 48 h), and late-onset DFP (after 48 h). Introduction of facial nerve motor-evoked potentials (fMEP) in 2002 and a change of practice utilizing perioperative minocycline in 2005 allowed for historical analysis of these interventions. RESULTS Mean age of study cohort was 49.1 yr (range 13-81 yr), with 19.8% developing facial palsy. The late-onset DFP group demonstrated a significantly faster recovery than the early-onset DFP group (2.8 ± 0.5 vs 47 ± 8 wk, P |
| Databáze: | OpenAIRE |
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