Early Rehabilitation of Facial Nerve Deficit after Acoustic Neuroma Surgery

Objective-To determine whether an early physical rehabilitative program could improve and/or accelerate recovery from a postoperative deficit of facial nerve (FN) function.Material and Methods-A retrospective study of the charts of patients who presented a postoperative FN deficit after surgery for...

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Veröffentlicht in:Acta oto-laryngologica 2003-10, Vol.123 (8), p.932-935
Hauptverfasser: Barbara, Maurizio, Monini, Simonetta, Buffoni, Antonella, Cordier, Aldo, Ronchetti, F., Harguindey, Alejandro, Di Stadio, A., Cerruto, R., Filipo, Roberto
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container_end_page 935
container_issue 8
container_start_page 932
container_title Acta oto-laryngologica
container_volume 123
creator Barbara, Maurizio
Monini, Simonetta
Buffoni, Antonella
Cordier, Aldo
Ronchetti, F.
Harguindey, Alejandro
Di Stadio, A.
Cerruto, R.
Filipo, Roberto
description Objective-To determine whether an early physical rehabilitative program could improve and/or accelerate recovery from a postoperative deficit of facial nerve (FN) function.Material and Methods-A retrospective study of the charts of patients who presented a postoperative FN deficit after surgery for acoustic neuroma (AN) was carried out. Twenty-nine patients were enrolled and divided into 2 groups: 18 who underwent early physical rehabilitation and 11 who did not undergo rehabilitation. All the AN patients underwent translabyrinthine removal and were classified preoperatively according to the House-Brackmann staging system. Physical rehabilitation was performed according to Kabat (i.e. neuromuscular facilitation). FN function was assessed postoperatively and classified according to the House-Brackmann grading system.Results-In Grade IV and V patients, early rehabilitation allowed a faster and better recovery with respect to AN patients for whom rehabilitation was not carried out.Conclusion-Early physical rehabilitation has proved to be effective as a helpful tool for recovery from FN deficit and it is therefore advisable to use it soon after surgery, especially for FN deficits worse than Grade IV.
doi_str_mv 10.1080/00016480310000629
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Twenty-nine patients were enrolled and divided into 2 groups: 18 who underwent early physical rehabilitation and 11 who did not undergo rehabilitation. All the AN patients underwent translabyrinthine removal and were classified preoperatively according to the House-Brackmann staging system. Physical rehabilitation was performed according to Kabat (i.e. neuromuscular facilitation). FN function was assessed postoperatively and classified according to the House-Brackmann grading system.Results-In Grade IV and V patients, early rehabilitation allowed a faster and better recovery with respect to AN patients for whom rehabilitation was not carried out.Conclusion-Early physical rehabilitation has proved to be effective as a helpful tool for recovery from FN deficit and it is therefore advisable to use it soon after surgery, especially for FN deficits worse than Grade IV.</description><identifier>ISSN: 0001-6489</identifier><identifier>EISSN: 1651-2251</identifier><identifier>DOI: 10.1080/00016480310000629</identifier><identifier>PMID: 14606595</identifier><identifier>CODEN: AOLAAJ</identifier><language>eng</language><publisher>Stockholm: Informa UK Ltd</publisher><subject>acoustic neuroma ; Adult ; Aged ; Biological and medical sciences ; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology ; Ear, Inner - surgery ; Facial Nerve Diseases - etiology ; Facial Nerve Diseases - rehabilitation ; facial nerve palsy ; Female ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Male ; Medical sciences ; Middle Aged ; Neuroma, Acoustic - surgery ; Otorhinolaryngology. Stomatology ; physical rehabilitation ; Physical Therapy Modalities - methods ; Postoperative Complications ; Program Evaluation ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Twenty-nine patients were enrolled and divided into 2 groups: 18 who underwent early physical rehabilitation and 11 who did not undergo rehabilitation. All the AN patients underwent translabyrinthine removal and were classified preoperatively according to the House-Brackmann staging system. Physical rehabilitation was performed according to Kabat (i.e. neuromuscular facilitation). FN function was assessed postoperatively and classified according to the House-Brackmann grading system.Results-In Grade IV and V patients, early rehabilitation allowed a faster and better recovery with respect to AN patients for whom rehabilitation was not carried out.Conclusion-Early physical rehabilitation has proved to be effective as a helpful tool for recovery from FN deficit and it is therefore advisable to use it soon after surgery, especially for FN deficits worse than Grade IV.</description><subject>acoustic neuroma</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</subject><subject>Ear, Inner - surgery</subject><subject>Facial Nerve Diseases - etiology</subject><subject>Facial Nerve Diseases - rehabilitation</subject><subject>facial nerve palsy</subject><subject>Female</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neuroma, Acoustic - surgery</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>physical rehabilitation</subject><subject>Physical Therapy Modalities - methods</subject><subject>Postoperative Complications</subject><subject>Program Evaluation</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the ear, the auditive nerve and the facial nerve</subject><subject>Time Factors</subject><subject>translabyrinthine approach</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><issn>0001-6489</issn><issn>1651-2251</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctO3DAUhi1UBFPKA7Cpsim7UN8Tq90gLm0FolIv6-jEsRkjJwbboZq3r0czCFWVYOVjne8_l_8gdETwCcEt_ogxJpK3mJESYUnVDloQKUhNqSBv0GKdrwug9tHblO7WX9WKPbRPuMRSKLFAVxcQ_ar6YZbQO-8yZBemKtjqErQDX92Y-Giqc2OddrkCm02sTnWYU3a6JOcYRqh-zvHWxNU7tGvBJ3O4fQ_Q78uLX2df6-vvX76dnV7XWlCVa801F7pVCvpWMdk3hDNGeiMGzAdqheF6aNq2p9oKJgXDcsCsoaCk6UXDJTtAx5u69zE8zCblbnRJG-9hMmWyriGMK0npqyDFSjRKsQKSDahjSCka291HN0JcdQR3a6u7_6wumvfb4nM_muFZsfW2AB-2ACQN3kaYtEvPnCjtqViv83nDucmGOMKfEP3QZVj5EJ9E7KU5Pv0jXxrweakhmu4uzHEql3hhi7_ac6lG</recordid><startdate>20031001</startdate><enddate>20031001</enddate><creator>Barbara, Maurizio</creator><creator>Monini, Simonetta</creator><creator>Buffoni, Antonella</creator><creator>Cordier, Aldo</creator><creator>Ronchetti, F.</creator><creator>Harguindey, Alejandro</creator><creator>Di Stadio, A.</creator><creator>Cerruto, R.</creator><creator>Filipo, Roberto</creator><general>Informa UK Ltd</general><general>Taylor &amp; Francis</general><general>Taylor and Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20031001</creationdate><title>Early Rehabilitation of Facial Nerve Deficit after Acoustic Neuroma Surgery</title><author>Barbara, Maurizio ; Monini, Simonetta ; Buffoni, Antonella ; Cordier, Aldo ; Ronchetti, F. ; Harguindey, Alejandro ; Di Stadio, A. ; Cerruto, R. ; Filipo, Roberto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c529t-c4c45c899ab8936b714331be5d04d2f5e4cd788b2cf5365306d0372a96eb57463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>acoustic neuroma</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</topic><topic>Ear, Inner - surgery</topic><topic>Facial Nerve Diseases - etiology</topic><topic>Facial Nerve Diseases - rehabilitation</topic><topic>facial nerve palsy</topic><topic>Female</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neuroma, Acoustic - surgery</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>physical rehabilitation</topic><topic>Physical Therapy Modalities - methods</topic><topic>Postoperative Complications</topic><topic>Program Evaluation</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Twenty-nine patients were enrolled and divided into 2 groups: 18 who underwent early physical rehabilitation and 11 who did not undergo rehabilitation. All the AN patients underwent translabyrinthine removal and were classified preoperatively according to the House-Brackmann staging system. Physical rehabilitation was performed according to Kabat (i.e. neuromuscular facilitation). FN function was assessed postoperatively and classified according to the House-Brackmann grading system.Results-In Grade IV and V patients, early rehabilitation allowed a faster and better recovery with respect to AN patients for whom rehabilitation was not carried out.Conclusion-Early physical rehabilitation has proved to be effective as a helpful tool for recovery from FN deficit and it is therefore advisable to use it soon after surgery, especially for FN deficits worse than Grade IV.</abstract><cop>Stockholm</cop><pub>Informa UK Ltd</pub><pmid>14606595</pmid><doi>10.1080/00016480310000629</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Taylor & Francis Medical Library - CRKN; Access via Taylor & Francis
subjects acoustic neuroma
Adult
Aged
Biological and medical sciences
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Ear, Inner - surgery
Facial Nerve Diseases - etiology
Facial Nerve Diseases - rehabilitation
facial nerve palsy
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Male
Medical sciences
Middle Aged
Neuroma, Acoustic - surgery
Otorhinolaryngology. Stomatology
physical rehabilitation
Physical Therapy Modalities - methods
Postoperative Complications
Program Evaluation
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the ear, the auditive nerve and the facial nerve
Time Factors
translabyrinthine approach
Treatment Outcome
Tumors
title Early Rehabilitation of Facial Nerve Deficit after Acoustic Neuroma Surgery
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