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Need for facial reanimation after operations for vestibular schwannoma: patients perspective

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Tina Tos
  • Per Caye-Thomasen
  • Sven-Eric Stangerup
  • Jens Thomsen
  • Mirko Tos
A total of 779 patients operated on for vestibular schwannoma mostly by the translabyrinthine approach in Denmark during the period 1976-2000 answered a questionnaire about various postoperative consequences. In this paper we describe the patients' facial function evaluated by professionals one year postoperatively and self-evaluated by each patient according to the House-Brackmann scale at the time of the questionnaire. The patients' self-evaluation was more pessimistic than that of the professionals with 26% reporting House-Brackmann grade IV-VI, compared with 20%. One hundred and seventeen (15%) of 779 patients considered their facial palsy to be a big problem and 125 patients (16%) were interested in surgical treatment for the sequelae of facial palsy. Seventy-eight (10%) had already had some kind of operation, usually the VII-XII coaptation. Thirty-three of 61 patients who had already been operated on for facial palsy were interested in further surgical treatment. One hundred and ninety-five patients (25%) had some kind of operation on the eye, mostly (88%) a tarsorrhaphy. Reanimation procedures such as a palpebral gold weight or a spring, apparently still have a small place in Denmark. In conclusion, there seem to be a considerable and unmet need for surgical reanimation of facial function in patients with facial palsy after operations for vestibular schwannoma in Denmark.
OriginalsprogEngelsk
TidsskriftJournal of Plastic Surgery and Hand Surgery
Vol/bind37
Udgave nummer2
Sider (fra-til)75-80
Antal sider6
ISSN2000-656X
StatusUdgivet - 1 jan. 2003

ID: 40196656