{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T17:59:05Z","timestamp":1760983145292},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1993,5]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 The results of repair of 18 facial nerves were examined by means of a modified House-Brackmann grading system. Six were repaired by end-to-end anastomosis and 12 by nerve graft. The reliability of the simplified House-Brackmann grading system was also assessed, using the kappa statistic to analyze the agreement between pairs of observers who examined the function of 40 nerves in 37 patients. Facial nerves studied had been either preserved, repaired or grafted, or divided and treated by faciohypoglossal nerve anastomosis. One nerve was not treated.<\/jats:p>\n<jats:p content-type=\"fine-print\">The grading system proved to be somewhat unreliable, with complete agreement between observers in only 25% of cases. Facial nerve repair produced a fair return of function in just under two-thirds of the cases. The ability of an examiner ignorant of the patient's history to assess from the end result how the nerve had been managed was also estimated. Observers showed little ability to decide correctly on the previous treatment of the nerve when the patient showed moderate dysfunction postoperatively. The implications of these findings for grading systems and for management of the facial nerve in acoustic nerve tumor surgery are discussed.<\/jats:p>","DOI":"10.3171\/jns.1993.78.5.0720","type":"journal-article","created":{"date-parts":[[2009,5,27]],"date-time":"2009-05-27T15:03:05Z","timestamp":1243436585000},"page":"720-725","source":"Crossref","is-referenced-by-count":25,"title":["Repair of facial nerve after removal of cerebellopontine angle tumors: a comparative study"],"prefix":"10.3171","volume":"78","author":[{"given":"T. T.","family":"King","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O. C.","family":"Sparrow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. M.","family":"Arias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. 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Report of cases.","volume":"80","author":"House","year":"1964"},{"key":"b9","series-title":"Neurosurgery","first-page":"408","article-title":"Functional results of facial nerve suture after removal of acoustic neurinoma: analysis of 25 cases.","volume":"27","author":"J\u00e4\u00e4skel\u00e4inen","year":"1990"},{"key":"b10","series-title":"Otolaryngol Head Neck Surg","first-page":"96","article-title":"Operative management of acoustic neuroma: the priority of neurologic function over complete resection.","volume":"104","author":"Kemink","year":"1991"},{"key":"b11","series-title":"Br J Neurosurg","first-page":"195","article-title":"The fate of tumour rests following removal of acoustic neuromas: an MRI, Gd-DTPA study.","volume":"6","author":"Lye","year":"1992"},{"key":"b12","series-title":"The Facial Nerve.","first-page":"311","author":"May","year":"1986"},{"key":"b13","series-title":"J Neurosurg","first-page":"6","article-title":"Acoustic tumors.","volume":"26","author":"Olivecrona","year":"1967"},{"key":"b14","series-title":"Acta Neurochir","first-page":"87","article-title":"Intracranial repair of interrupted facial nerve in course of operation for acoustic neurinoma by microsurgical technique.","volume":"79","author":"Pluchino","year":"1986"},{"key":"b15","series-title":"Br J Neurosurg","first-page":"313","article-title":"Facio-hypoglossal anastomosis for the treatment of facial palsy after acoustic neuroma resection.","volume":"4","author":"Sabin","year":"1990"},{"key":"b16","series-title":"Arch Gen Psychiatry","first-page":"83","article-title":"Quantification of agreement in psychiatric diagnosis. A new approach.","volume":"17","author":"Spitzer","year":"1967"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/78\/5\/article-p720.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/78\/5\/article-p720.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/78\/5\/article-p720.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,19]],"date-time":"2023-03-19T21:12:36Z","timestamp":1679260356000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/78\/5\/article-p720.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,5]]},"references-count":16,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/jns.1993.78.5.0720","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1993,5]]}}}