| Predicting recovery of facial nerve function following injury from a basilar skull fracture. | |
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MedLine Citation:
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PMID: 1919699 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Twenty-five patients with posttraumatic facial nerve palsy were studied. Partial recovery of function had occurred in 95% of these patients by 18 months after injury. At 5 months posttrauma, there was some recovery in 92.5% of those with a partial lesion compared with 10% of those with a complete lesion. This difference attains statistical significance. Complete recovery of nerve function had occurred by 10.5 months in 53.5% of the patients; in 62% of patients with a partial lesion, complete recovery had occurred by 4 months compared with 0% in those with a complete lesion. This difference also attains statistical significance. There was no statistically significant difference in recovery of function between patients with an immediate as opposed to a delayed onset of facial nerve palsy. It was determined that the degree of palsy had a statistically significant influence on recovery of facial nerve function, whereas the time of onset did not. The data presented support a conservative approach to these injuries and it is recommended that the possibility of surgical treatment should be entertained in patients with complete facial palsy persisting for 12 to 18 months after injury. |
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Authors:
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A B Adegbite; M I Khan; L Tan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 75 ISSN: 0022-3085 ISO Abbreviation: J. Neurosurg. Publication Date: 1991 Nov |
Date Detail:
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Created Date: 1991-11-20 Completed Date: 1991-11-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 759-62 Citation Subset: AIM; IM |
Affiliation:
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Department of Clinical Neurological Sciences Neurosurgery, University of Saskatchewan, Saskatoon, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Child Electromyography Facial Nerve / physiopathology Facial Nerve Injuries Facial Paralysis / etiology*, physiopathology*, therapy Female Humans Male Middle Aged Occipital Bone / injuries* Prognosis Proportional Hazards Models Skull Fractures / complications* Time Factors |
| Comments/Corrections | |
Comment In:
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J Neurosurg. 1992 Aug;77(2):332
[PMID:
1625031
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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