Analysis on outcomes of facial paralysis complicated by middle ear cholesteatoma.

Abstract:

BACKGROUND:The prognostic factors of facial paralysis complicated by middle ear cholesteatoma (MEC) are largely unknown due to limited reports and smaller sample size. OBJECTIVES:This study aimed to analyze prognostic factors of postoperative outcomes of facial paralysis complicated by MEC. MATERIAL AND METHODS:Clinical data of 48 patients (48 ears) with facial paralysis complicated by MEC were retrospectively reviewed and analyzed. The outcomes of facial paralysis were compared between different groups. RESULTS:All the eight cases (100%) with intact fallopian canal had complete recovery of facial paralysis after surgery, while only 52.5% cases (21/40 cases) with fallopian canal damage achieved good recovery, with significant difference (p < .05). For subgroup analysis of the 40 cases with damaged fallopian canal, the good recovery rate of facial paralysis in shorter duration group (≤2 months) was higher compared to longer duration group (>2 months) (81.0% versus 21.1%; p < .05). Moreover, the good recovery rate of facial paralysis in moderate facial paralysis group (grade II-IV) was higher compared to severe facial paralysis group (grade V-VI) (82.4% versus 30.4%; p < .05). CONCLUSIONS AND SIGNIFICANCE:The outcomes of facial paralysis complicated by MEC were associated with fallopian canal integrity, duration and severity of facial paralysis.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Li Q,Jia Y,Feng Q,Tang B,Luo X,Xu P,Wang D,Zhang X

doi

10.1080/00016489.2018.1543951

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

211-213

issue

2

eissn

0001-6489

issn

1651-2251

journal_volume

139

pub_type

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