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Review
. 2024 Sep;24(9):381-387.
doi: 10.1007/s11910-024-01358-7. Epub 2024 Jul 24.

A New Surgical Option For Patients with Unresolved Bell's Palsy

John P Leonetti  1 , M Kareem Shukairy  2 , Monique North  3 , Eileen Foecking  2   4 , Lisa Burkman  5
Affiliations
Review

A New Surgical Option For Patients with Unresolved Bell's Palsy

John P Leonetti et al. Curr Neurol Neurosci Rep. 2024 Sep.

Abstract

Purpose: This paper describes a new surgical procedure with electrical stimulation of the facial nerve for unresolved Bell's palsy and compares the facial nerve recovery with another group who underwent traditional middle cranial fossa decompression.

Recent findings: All patients with total unilateral facial paralysis had surgery by the senior author 3 months from onset of Bell's Palsy. Surgical decompression was performed in 13 patients between 1992-2012 (Group 1). Surgical exposure with intraoperative electrical stimulation of the facial nerve in the peri-geniculate region was performed in 47 patients between 2012-2022 (Group 2). The facial recovery at 1 month and 3 month were significantly better in Group 2. The degree of synkinesis was significantly less in Group 2. The trans-mastoid electrical stimulation of the facial nerve is less invasive, requires no hospital stay, and less time off work compared to the middle cranial fossa approach. The earlier facial movement at one month results in less long-term unwanted faulty regeneration or synkinesis.

Keywords: Bell’s Palsy; Facial Nerve Electrical Stimulation; Facial Paralysis; Facial Synkinesis; Geniculate Ganglion.

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References

    1. Baugh RF. Clinical Practice Guideline: Bell’s Palsy Executive Summary. Otolaryngol Head Neck Surg. 2013;1493(Suppl 2013):S1-27.
    1. Yanagihara N. Incidence of Bell’s Palsy. Ann Otol Rhino Laryngol Suppl. 1988;137(Suppl 137):3–4. - DOI
    1. Adour KK, Bell DN, Hilsinger RL Jr. Herpes Simplex virus in idiopathic facial paralysis (Bell’s palsy). JAMA. 1975;233:527–30. - DOI - PubMed
    1. Valls-Sole J, Montero J. Movement disorders in patients with peripheral facial palsy. Mov Disord. 2003;18(2):1424–35. - DOI - PubMed
    1. Devriese PP, Schumacher T, Scheide A, deJongh RH, Houtkooper JM. Incidence, prognosis, and recovery of Bell’s palsy. A survey of about 1000 patients (1974–1983). Clin Otolaryngol Allied Sci. 1990;15(1):15–27. - DOI - PubMed

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