{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:12:02Z","timestamp":1792059122805,"version":"4.4.0"},"reference-count":9,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,10,25]],"date-time":"2016-10-25T00:00:00Z","timestamp":1477353600000},"content-version":"vor","delay-in-days":9886,"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":[[1989,10]]},"abstract":"<jats:p>Recurrent facial paralysis (RFP) is a rare disorder that in some individuals may lead to worsening sequelae. Melkersson\u2010Rosenthal syndrome is a variant of RFP that is associated with recurrent facial edema. In the past, decompression of the mastoid segment of the facial nerve has not been successful in preventing recurrences. In 1981 we began performing total facial nerve decompression for RFP and in 1986 reported its efficacy in one patient with Melkersson\u2010Rosenthal syndrome and in another in whom both nerves were decompressed for alternating bilateral paralysis. An additional four cases with 3 to 8 years of followup demonstrate no recurrences in any patient. Total facial nerve decompression for RFP in selected patients appears efficacious in preventing recurrences. Decompression will remain investigational until further followup is obtained. Furthermore, its salutary effect should not be extrapolated to Bell's palsy without further Study.<\/jats:p>","DOI":"10.1177\/019459988910100406","type":"journal-article","created":{"date-parts":[[2017,7,18]],"date-time":"2017-07-18T06:45:34Z","timestamp":1500360334000},"page":"442-444","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Total Facial Nerve Decompression for Recurrent Facial Paralysis: An Update"],"prefix":"10.1002","volume":"101","author":[{"given":"Malcolm D.","family":"Graham","sequence":"first","affiliation":[{"name":"Michigan Ear Institute Farmington Hills Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack M.","family":"Kartush","sequence":"additional","affiliation":[{"name":"Michigan Ear Institute Farmington Hills Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,10,25]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"135","volume-title":"Peripheral facial palsy","author":"Kettel K","year":"1959"},{"key":"e_1_2_1_3_1","first-page":"34","article-title":"Total facial nerve decompression in recurrent facial paralysis and the Melkersson\u2010Rosenthal syndrome: A preliminary report","volume":"7","author":"Graham M","year":"1986","journal-title":"Am J Otol"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198308000-00016"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1984.00800320028006"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198504000-00007"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1981.00790370003001"},{"key":"e_1_2_1_8_1","first-page":"259","volume-title":"Facial nerve","author":"Nyberg P","year":"1985"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300409"},{"key":"e_1_2_1_10_1","first-page":"181","volume-title":"The facial nerve","author":"May M","year":"1986"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988910100406","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988910100406","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T14:10:38Z","timestamp":1760969438000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459988910100406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1989,10]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1989,10]]}},"alternative-id":["10.1177\/019459988910100406"],"URL":"https:\/\/doi.org\/10.1177\/019459988910100406","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1989,10]]},"assertion":[{"value":"1988-10-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-10-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}