Facial nerve electrodiagnostics for patients with facial palsy : a clinical practice guideline

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http://hdl.handle.net/10138/318876

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Guntinas-Lichius , O , Volk , G F , Olsen , K D , Mäkitie , A A , Silver , C E , Zafereo , M E , Rinaldo , A , Randolph , G W , Simo , R , Shaha , A R , Vander Poorten , V & Ferlito , A 2020 , ' Facial nerve electrodiagnostics for patients with facial palsy : a clinical practice guideline ' , European Archives of Oto-Rhino-Laryngology , vol. 277 , no. 7 , pp. 1855-1874 . https://doi.org/10.1007/s00405-020-05949-1

Title: Facial nerve electrodiagnostics for patients with facial palsy : a clinical practice guideline
Author: Guntinas-Lichius, Orlando; Volk, Gerd Fabian; Olsen, Kerry D.; Mäkitie, Antti A.; Silver, Carl E.; Zafereo, Mark E.; Rinaldo, Alessandra; Randolph, Gregory W.; Simo, Ricard; Shaha, Ashok R.; Vander Poorten, Vincent; Ferlito, Alfio
Contributor: University of Helsinki, HUS Head and Neck Center
Date: 2020-07
Language: eng
Number of pages: 20
Belongs to series: European Archives of Oto-Rhino-Laryngology
ISSN: 0937-4477
URI: http://hdl.handle.net/10138/318876
Abstract: Purpose Facial nerve electrodiagnostics is a well-established and important tool for decision making in patients with facial nerve diseases. Nevertheless, many otorhinolaryngologist-head and neck surgeons do not routinely use facial nerve electrodiagnostics. This may be due to a current lack of agreement on methodology, interpretation, validity, and clinical application. Electrophysiological analyses of the facial nerve and the mimic muscles can assist in diagnosis, assess the lesion severity, and aid in decision making. With acute facial palsy, it is a valuable tool for predicting recovery. Methods This paper presents a guideline prepared by members of the International Head and Neck Scientific Group and of the Multidisciplinary Salivary Gland Society for use in cases of peripheral facial nerve disorders based on a systematic literature search. Results Required equipment, practical implementation, and interpretation of the results of facial nerve electrodiagnostics are presented. Conclusion The aim of this guideline is to inform all involved parties (i.e. otorhinolaryngologist-head and neck surgeons and other medical specialists, therapeutic professionals and the affected persons) and to provide practical recommendations for the diagnostic use of facial nerve electrodiagnostics.
Subject: Facial nerve
Diagnostics
Facial paralysis
Bell's palsy
Electroneurography
Electromyography
Electrostimulation
Recommendations
TRANSCRANIAL MAGNETIC STIMULATION
ORBICULARIS OCULI MUSCLE
BRAIN-STEM REFLEXES
PROGNOSTIC VALUE
BELLS-PALSY
ELECTRONEUROGRAPHY
ELECTROMYOGRAPHY
EXCITABILITY
ELECTRONEURONOGRAPHY
3125 Otorhinolaryngology, ophthalmology
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