{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T21:53:51Z","timestamp":1773698031231,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"vor","delay-in-days":5663,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2001,3]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>We sought to assess the efficacy of transmastoid decompression after steroid treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>One hundred one adults with Bell palsy having denervation exceeding 95% after steroid treatment were divided into 2\u00a0groups. In 58 patients decompression from the labyrinthine segment to the stylomastoid foramen was performed, and the remaining 43 patients were only followed up. Using the Yanagihara score and House Brackmann grading system, the recovery from the palsy was assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>There was a statistically significant difference in the final facial score of the 2\u00a0groups. Within 60\u00a0days after the onset, the chance of better recovery from the palsy was higher in the patients with decompression.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>In the era of steroid treatment, we cannot discard the transmastoid decompression of the facial nerve in the treatment of severe Bell palsy with profound denervation, although further effort is needed to obtain definitive evidence to show the benefit of the operation.<\/jats:p><\/jats:sec>","DOI":"10.1067\/mhn.2001.112309","type":"journal-article","created":{"date-parts":[[2003,2,4]],"date-time":"2003-02-04T21:49:09Z","timestamp":1044395349000},"page":"282-286","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":70,"title":["Transmastoid Decompression As a Treatment of Bell Palsy"],"prefix":"10.1002","volume":"124","author":[{"given":"Naoaki","family":"Yanagihara","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Takanoko Hospital Matsuyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naohito","family":"Hato","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Ehime University Medical School Ehime Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shingo","family":"Murakami","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Ehime University Medical School Ehime Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobumitsu","family":"Honda","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Ehime University Medical School Ehime Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1981.00790370003001"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989010200606"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1979.00790210028006"},{"key":"e_1_2_5_5_1","first-page":"41","volume-title":"Facial nerve","author":"Yanagihara N.","year":"1985"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988209000521"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198901000-00006"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894880976S307"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110400110"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-124-1_Part_1-199601010-00005"},{"key":"e_1_2_5_11_1","unstructured":"PeitersonE.Natural course of Bell palsy.In: VIII International Symposium on The Facial Nerve. 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