Ben Walters, Sanjay Patel, Valerie Kim, Hussein Walijee
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引用次数: 0
摘要
目的：本研究旨在回顾耳科手术后迟发性面神经麻痹（DFP）的发生率、预后和治疗。方法：检索截至2024年5月10日的MEDLINE、Pubmed、Embase和Cochrane Central Register of Controlled Trials。根据系统评价和荟萃分析的首选报告项目（PRISMA）指南对耳科手术后DFP的研究报告进行系统评价。使用JBI关键评估工具评估偏倚风险。结果：1967年至2021年共进行24917例DFP手术，纳入201例文献49篇。术后平均发病时间8.4天。93%的发作完全恢复，大多数病例需要8天到一个月的时间才能恢复。结论：关于DFP的发病机制存在多种理论。这是罕见的，并有良好的预后后，治疗皮质类固醇与抗病毒治疗或不。
Delayed facial nerve palsy following otological surgery: systematic review and narrative synthesis.
Objectives: This study aimed to review the incidence, outcomes and treatment of delayed facial nerve palsy (DFP) following otological surgery.
Methods: MEDLINE, Pubmed, Embase and The Cochrane Central Register of Controlled Trials were searched up to 10 May 2024. A systematic review was conducted per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines of studies reporting on DFP following otological surgery. The risk of bias was assessed using the JBI critical appraisal tools.
Results: Forty-nine articles were included with 201 instances of DFP following 24,917 operations from 1967 to 2021. The mean day of onset post-operatively was 8.4. 93 per cent of episodes fully recovered, with most cases taking between eight days and one month to recover.
Conclusion: Many theories of the pathogenesis of DFP exist. It is rare and has an excellent prognosis following treatment with corticosteroids with or without anti-viral therapy.
期刊介绍：
The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.
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