{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T21:31:48Z","timestamp":1785879108561,"version":"3.56.0"},"reference-count":0,"publisher":"Index Copernicus","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol Pol"],"published-print":{"date-parts":[[2021,2,16]]},"abstract":"<jats:p>Introduction: The most common mechanism of post-traumatic facial nerve palsy are road accidents and falls.\nTreatment schemes as well as proper timing of surgery are still controversial.\nPurpose: The aim of the study was the evaluation of the effects of surgical treatment in patients with post-traumatic facial nerve palsy. Treatment results were correlated with epidemiological factors, mechanism of injury, level of nerve damage, time of surgery and its extent.\nMaterial and methods: 9 patients with facial nerve palsy after head trauma were analyzed. In all patients complete\nparesis of the VII nerve occurred immediately after the injury. In 5 patients the nerve was damaged in the course of the longitudinal fracture of the temporal bone, in 3 as a result of its transverse fracture while in one woman there was no evident fracture line. In all cases, surgical treatment was performed between 4 days and 13 weeks after the trauma. In all cases transmastoid approach was used. Edema lesions of the nerve dominated in 6 patients, in two cases a bone fragment was noted along its course, in one person nerve was disrupted but primary reconstruction was not possible - the man was excluded from further analysis. The results of treatment were assessed by House'a-Brackmann (HB) scale 12 months after the procedure.\nResults: Very good (HBI) or good (HBII) recovery of facial nerve function was achieved in 2 and 4 out of 8 patients\nrespectively. Surgical timing, the extent of surgery, patient\u2019s age, mechanism of injury and level of nerve damage had no effect on the final outcome.\nConclusions: The management of post-traumatic facial nerve palsy should be individual. The commonly accepted\nrecommendation on surgical treatment is to undertake it in patients with immediate-onset and complete paralysis. Patients who, due to their severe general condition, cannot undergo early facial nerve decompression may benefit from delayed treatment for up to 3 months after the injury.\nKEY WORDS: facial nerve palsy, facial nerve decompression, craniofacial injury, temporal bone fracture\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0014.7446","type":"journal-article","created":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T13:49:42Z","timestamp":1615902582000},"page":"1-5","source":"Crossref","is-referenced-by-count":4,"title":["Efficacy of Surgical Treatment in Patients with Post-traumatic Facial Nerve Palsy"],"prefix":"10.5604","volume":"75","author":[{"given":"Joanna","family":"Marsza\u0142","sequence":"first","affiliation":[{"name":"Klinika Otolaryngologii i Onkologii Laryngologicznej Uniwersytetu Medycznego w Poznaniu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Bartochowska","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Laryngological Oncology, Poznan University of Medical Sciences, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wojciech","family":"Gaw\u0119cki","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Laryngological Oncology, Poznan University of Medical Sciences, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Witold","family":"Szyfter","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Laryngological Oncology, Poznan University of Medical Sciences, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3689","container-title":["Otolaryngologia Polska"],"original-title":[],"link":[{"URL":"https:\/\/otolaryngologypl.com\/gicid\/pdf\/01.3001.0014.7446","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/otolaryngologypl.com\/gicid\/pdf\/01.3001.0014.7446","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T13:49:46Z","timestamp":1615902586000},"score":1,"resource":{"primary":{"URL":"https:\/\/otolaryngologypl.com\/gicid\/01.3001.0014.7446"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,16]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,2,2]]}},"URL":"https:\/\/doi.org\/10.5604\/01.3001.0014.7446","relation":{},"ISSN":["0030-6657","2300-8423"],"issn-type":[{"value":"0030-6657","type":"print"},{"value":"2300-8423","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,16]]}}}