{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T13:29:53Z","timestamp":1758806993829,"version":"3.37.3"},"reference-count":9,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,3,12]],"date-time":"2017-03-12T00:00:00Z","timestamp":1489276800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2017,12]]},"abstract":"Objectives<\/jats:title>We describe a novel scoring system, the facial Palsy Prognosis Prediction score (PPP<\/jats:styled-content> score), which we test for reliability in predicting pre\u2010therapeutic prognosis of facial palsy. We aimed to use readily available patient data that all clinicians have access to before starting treatment.<\/jats:p><\/jats:sec>Design<\/jats:title>Multicenter case series with chart review.<\/jats:p><\/jats:sec>Setting<\/jats:title>Three tertiary care hospitals.<\/jats:p><\/jats:sec>Participants<\/jats:title>We obtained haematological and demographic data from 468 facial palsy patients who were treated between 2010 and 2014 in three tertiary care hospitals. Patients were categorised as having Bell's palsy or Ramsey Hunt's palsy.<\/jats:p><\/jats:sec>Main outcome measures<\/jats:title>We compared the data of recovered and unrecovered patients. PPP<\/jats:styled-content> scores consisted of combinatorial threshold values of continuous patient data (eg platelet count) and categorical variables (eg gender) that best predicted recovery. We created separate PPP<\/jats:styled-content> scores for Bell's palsy patients (PPP<\/jats:styled-content>\u2010B) and for Ramsey Hunt's palsy patients (PPP<\/jats:styled-content>\u2010H).<\/jats:p><\/jats:sec>Results<\/jats:title>The PPP<\/jats:styled-content>\u2010B score included age (\u226565 years), gender (male) and neutrophil\u2010to\u2010lymphocyte ratio (\u22652.9). The PPP<\/jats:styled-content>\u2010H score included age (\u226550 years), monocyte rate (\u22656.0%), mean corpuscular volume (\u226595 fl) and platelet count (\u2264200 000 \/\u03bcL). Patient recovery rate significantly decreased with increasing PPP<\/jats:styled-content> scores (both PPP<\/jats:styled-content>\u2010B and PPP<\/jats:styled-content>\u2010H) in a step\u2010wise manner. PPP<\/jats:styled-content> scores (ie PPP<\/jats:styled-content>\u2010B score and PPP<\/jats:styled-content>\u2010H score) \u22652 were associated with worse than average prognosis.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Palsy Prognosis Prediction scores are useful for predicting prognosis of facial palsy before beginning treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.12853","type":"journal-article","created":{"date-parts":[[2017,2,21]],"date-time":"2017-02-21T21:32:42Z","timestamp":1487712762000},"page":"1224-1228","source":"Crossref","is-referenced-by-count":9,"title":["Novel pre\u2010therapeutic scoring system using patient and haematological data to predict facial palsy prognosis"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7335-3622","authenticated-orcid":false,"given":"K.","family":"Wasano","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Japanese Red Cross Shizuoka Hospital Shizuoka Japan"},{"name":"Department of Otolaryngology, Head and Neck Surgery Keio University School of Medicine Tokyo Japan"},{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Feinberg School of Medicine Northwestern University Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Nippon Koukan Hospital Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Kawasaki","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Japanese Red Cross Shizuoka Hospital Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Japanese Red Cross Shizuoka Hospital Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Tomisato","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Nippon Koukan Hospital Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Shinden","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Saiseikai Utsunomiya Hospital Tochigi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Minami","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology National Hospital Organization Tokyo Medical Center Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Wakabayashi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology National Hospital Organization Tokyo Medical Center Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Keio University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/000164802760370736"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489409128320"},{"key":"e_1_2_9_4_1","first-page":"16","article-title":"Electroneurography (ENoG) for Bell's palsy patients and its meaning in prognostic diagnosis. [in Japanese]","volume":"17","author":"Inamura H","year":"1997","journal-title":"Facial N Res Jpn"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000468"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816646552"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200311000-00022"},{"key":"e_1_2_9_8_1","first-page":"14","article-title":"Early prognostic diagnosis of facial nerve paralysis in patients with Bell's palsy. [in Japanese]","volume":"22","author":"Hato N","year":"2002","journal-title":"Facial N Res Jpn"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001060050619"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2012.04.011"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcoa.12853","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.12853","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T10:28:30Z","timestamp":1695551310000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.12853"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,12]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1111\/coa.12853"],"URL":"https:\/\/doi.org\/10.1111\/coa.12853","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"type":"print","value":"1749-4478"},{"type":"electronic","value":"1749-4486"}],"subject":[],"published":{"date-parts":[[2017,3,12]]}}}