Rationale for the Development of a Novel Clinical Grading Scale for Postoperative Facial Nerve Function: Results of a Multidisciplinary International Working Group-Reference-Cited by-同舟云学术

Rationale for the Development of a Novel Clinical Grading Scale for Postoperative Facial Nerve Function: Results of a Multidisciplinary International Working Group

Published:2023-10-25 Issue:10 Volume:44 Page:e747-e754
ISSN:1537-4505
Container-title:Otology & Neurotology
language:en
Short-container-title:Otol Neurotol

Author:

Carlson Matthew L.,Lohse Christine M.¹,Agazzi Siviero²,Babu Seilesh C.³,Barker Frederick G.⁴,Barnett Samuel⁵,Bi Wenya Linda⁶,Biggs Nigel⁷,Boahene Kofi D.⁸,Breen Joseph T.⁹,Brown Kevin D.¹⁰,Cayé-Thomasen Per¹¹,Cosetti Maura K.¹²,Deep Nicholas L.¹³,Dey Jacob K.¹⁴,Dornhoffer James R.¹⁴,Forner David¹⁵,Gurgel Richard K.¹⁶,Hansen Marlan R.¹⁷,Hunter Jacob B.¹⁸,Kalamarides Michel¹⁹,Kim Irene A.²⁰,King Andrew T.²¹,Kircher Matthew L.²²,Lassaletta Luis²³,Link Michael J.,Lloyd Simon K.W.²⁴,Lund-Johansen Morten²⁵,Marinelli John P.¹⁴,Matthies Cordula²⁶,Mehta Vikas²⁷,Moore Eric J.¹⁴,Nassiri Ashley M.²⁸,Neff Brian A.¹⁴,Nelson Rick F.²⁹,Olson Jeffrey J.³⁰,Patel Neil S.¹⁶,Celda Maria Peris³¹,Plitt Aaron R.³¹,Price Daniel L.¹⁴,Thomas Roland J.³²,Sweeney Alex D.³³,Tasche Kendall K.¹⁴,Tatagiba Marcos³⁴,Tveiten Øystein²⁵,Van Gompel Jamie J.³¹,Vrabec Jeffrey T.³⁵,Wanna George B.¹²,Weisskopf Peter A.¹³

Affiliation:

1. Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota

2. Department of Neurosurgery, University of South Florida, Tampa, Florida

3. Michigan Ear Institute, Farmington Hills, Michigan

4. Department of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts

5. Department of Neurological Surgery, The University of Texas Southwestern Medical Center, Dallas, Texas

6. Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts

7. Department of Otolaryngology, Head, Neck and Skull Base Surgery, St Vincent's Hospital, Sydney, Australia

8. Department of Otolaryngology–Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland

9. Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Jacksonville, Florida

10. Department of Otolaryngology–Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

11. Department of Otorhinolaryngology–Head and Neck Surgery and Audiology, University Hospital of Copenhagen, Copenhagen, Denmark

12. Department of Otolaryngology–Head and Neck Surgery, Icahn School of Medicine of Mount Sinai, New York, New York

13. Department of Otolaryngology–Head and Neck Surgery, Mayo Clinic, Phoenix, Arizona

14. Department of Otolaryngology–Head and Neck Surgery

15. Division of Otolaryngology–Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada

16. Department of Otolaryngology, University of Utah Health, Salt Lake City, Utah

17. Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa

18. Department of Otolaryngology–Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania

19. Department of Neurosurgery, AP-HP, Hôpital Pitié-Salpêtrière, Sorbonne Université, Paris, France

20. Department of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California

21. Department of Neurosurgery, Manchester Centre for Clinical Neurosciences, Manchester, UK

22. Department of Otolaryngology–Head and Neck Surgery, Loyola University Medical Center, Chicago, Illinois

23. Department of Otolaryngology, IdiPAZ Institute for Health Research, La Paz University Hospital; Biomedical Research Networking Centre on Rare Diseases (CIBERER-U761), Institute of Health Carlos III, Madrid, Spain

24. Department of Otolaryngology Head and Neck Surgery, Manchester Royal Infirmary, Manchester Academic Health Science Centre, Manchester University Hospitals NHS Foundation Trust, Manchester, UK

25. Department of Neurosurgery, Haukeland University Hospital, Bergen, Norway

26. Department of Neurosurgery, University of Würzburg, Würzburg, Germany

27. Department of Otorhinolaryngology–Head and Neck Surgery, Montefiore Medical Center, Bronx, New York

28. Department of Otolaryngology–Head and Neck Surgery, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado

29. Department of Otolaryngology–Head and Neck Surgery, Indiana University, Indianapolis, Indiana

30. Department of Neurosurgery, Emory University, Atlanta, Georgia

31. Department of Neurologic Surgery

32. Department of Otolaryngology-Head and Neck Surgery, New York University Grossman School of Medicine, New York, New York

33. Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas

34. Neurosurgical Clinic, Department of Neurosurgery and Neurotechnology, Eberhard Karls University, Tuebingen, Germany

35. Houston Methodist ENT Specialists, Houston, Texas

Abstract

Objective The objective of the current study was to present the results of an international working group survey identifying perceived limitations of existing facial nerve grading scales to inform the development of a novel grading scale for assessing early postoperative facial paralysis that incorporates regional scoring and is anchored in recovery prognosis and risk of associated complications. Study Design Survey. Setting A working group of 48 multidisciplinary clinicians with expertise in skull base, cerebellopontine angle, temporal bone, or parotid gland surgery. Results House-Brackmann grade is the most widely used system to assess facial nerve function among working group members (81%), although more than half (54%) agreed that the system they currently use does not adequately estimate the risk of associated complications, such as corneal injury, and confidence in interrater and intrarater reliability is generally low. Simplicity was ranked as the most important attribute of a novel postoperative facial nerve grading system to increase the likelihood of adoption, followed by reliability and accuracy. There was widespread consensus (91%) that the eye is the most critical facial region to focus on in the early postoperative setting. Conclusions Members were invited to submit proposed grading systems in alignment with the objectives of the working group for subsequent validation. From these data, we plan to develop a simple, clinically anchored, and reproducible staging system with regional scoring for assessing early postoperative facial nerve function after surgery of the skull base, cerebellopontine angle, temporal bone, or parotid gland.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Neurology (clinical),Sensory Systems,Otorhinolaryngology

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