{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T05:37:09Z","timestamp":1789018629252,"version":"build-2803163510"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T00:00:00Z","timestamp":1551830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000009","name":"Foundation for the National Institutes of Health","doi-asserted-by":"publisher","award":["NCATS UL1TR002537"],"award-info":[{"award-number":["NCATS UL1TR002537"]}],"id":[{"id":"10.13039\/100000009","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["UL1TR002537"],"award-info":[{"award-number":["UL1TR002537"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the postoperative facial nerve dysfunction, audiometric outcomes, and long\u2010term quality\u2010of\u2010life outcomes of patients with idiopathic recurrent facial nerve paralysis (RFP) after middle cranial fossa (MCF) microsurgical decompression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective chart analysis of 11 (mean age 37.0\u2009years, range 5 to 67) patients at an academic tertiary referral center who underwent MCF facial nerve decompression. Data analysis included evaluation of pre\u2010 and postoperative House\u2010Brackmann (HB) score, pre\u2010 and postoperative pure\u2010tone average (PTA), pre\u2010and postoperative word recognition scores (WRS), and postoperative Facial Clinimetric Evaluation survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean number of preoperative facial paralysis episodes was 3.5 (range 2 to 6), and preoperative HB score was 4.5 (range 1 to 6). Postoperatively, 0 patients had further episodes of facial nerve paralysis at an average of 6.5\u2009years (range 0.1 to 17.6) (<jats:italic>P<\/jats:italic> =\u20090.005), and the average postoperative HB score was 2.1 (range 1 to 3) (<jats:italic>P<\/jats:italic> =\u20090.011). Postoperative audiometry was stably maintained as assessed with PTA and WRS scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Microsurgical facial nerve decompression for idiopathic RFP may be a reliable therapeutic modality to prophylactically decrease the number of facial nerve paralysis episodes and may also help to improve facial nerve functional status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 130:200\u2013205, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27906","type":"journal-article","created":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T15:35:53Z","timestamp":1551886553000},"page":"200-205","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Surgical Outcomes in Idiopathic Recurrent Facial Nerve Paralysis: A Rare Clinical Entity"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1624-7422","authenticated-orcid":false,"given":"Christopher Blake","family":"Sullivan","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Q.","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7825-8162","authenticated-orcid":false,"given":"Vivian L.","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6884-4897","authenticated-orcid":false,"given":"Marlan R.","family":"Hansen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa U.S.A."},{"name":"Department of Neurosurgery University of Iowa Hospitals and Clinics  Iowa City Iowa U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce J.","family":"Gantz","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa U.S.A."},{"name":"Department of Neurosurgery University of Iowa Hospitals and Clinics  Iowa City Iowa 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