Therapeutic management of traumatic facial palsy: a systematic review.

IF 2.2 3区医学 Q2 OTORHINOLARYNGOLOGY

European Archives of Oto-Rhino-Laryngology Pub Date : 2025-09-01 Epub Date: 2025-04-26 DOI:10.1007/s00405-025-09367-z

Alice Ottavi, Anna Cozzi, Fabiana Allevi, Christian Calvo-Henriquez, Carlos Chiesa-Estomba, Giovanni Felisati, Jerome R Lechien, Antonino Maniaci, Miguel Mayo-Yáñez, Giancarlo Pecorari, Giuseppe Riva, Luigi Angelo Vaira, Alberto Maria Saibene, Anastasia Urbanelli

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引用次数: 0

Abstract

Purpose: Trauma is a common cause of facial nerve palsy, accounting for 3% of all cases. While many facial palsies resolve with medical treatment, some require surgical intervention. This systematic review aimed to determine the best therapeutic strategy for traumatic facial palsy.

Methods: We reviewed eligible articles for patient demographics, pre-treatment assessment, parameters of selected treatment, type of treatment, outcomes, and post-treatment assessment.

Results: Among 135 unique citations, 32 studies were considered eligible, reporting treatment data for 2079 patients. Most studies (n = 30) were case series. The main proposed therapeutic strategies were medical, surgical, or a combination of both. For almost all the selected studies, the House-Brackmann (HB) scale was used to estimate the severity of facial palsy.

Conclusion: Based on the existing literature, a standardized guideline for the treatment of traumatic facial palsy is not well delineated, due to the extreme heterogeneity of available therapeutic choices and the lack of standardized patient stratification.

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外伤性面瘫的治疗管理：系统回顾。

目的：外伤是面神经麻痹的常见原因，占所有病例的3%。虽然许多面部麻痹可以通过药物治疗解决，但有些需要手术干预。本系统综述旨在确定创伤性面瘫的最佳治疗策略。方法：我们回顾了符合条件的文章，包括患者人口统计学、治疗前评估、所选治疗参数、治疗类型、结局和治疗后评估。结果：在135个独特的引用中，32个研究被认为是合格的，报告了2079例患者的治疗数据。大多数研究（n = 30）为病例系列。提出的主要治疗策略是药物、手术或两者结合。几乎所有入选的研究都采用了House-Brackmann （HB）量表来评估面瘫的严重程度。结论：在现有文献的基础上，由于可选择的治疗方法极不均匀且缺乏标准化的患者分层，创伤性面瘫的标准化治疗指南尚未得到很好的描述。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.