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. Author manuscript; available in PMC: 2021 May 5.
Published in final edited form as: JAMA Otolaryngol Head Neck Surg. 2020 Nov 1;146(11):1065–1072. doi: 10.1001/jamaoto.2020.3049

Table 2.

Types of Surgery in the Included Studies, With Cited Incidence Rates of FP

Surgery by location of facial nerve Description Patients, No. (%) (N = 313) Reported incidence rate of FP in the literature
Extratemporal Includes parotidectomy, face-lift, TMJ arthroplasty, styloidectomy, facial fracture repair 170 (54)
  • “Incidence of immediate post-parotidectomy facial nerve dysfunction [approaches as high as] 14.5% of permanent deficits”30(p461)

  • “Incidence of facial nerve palsy after orthognathic surgery…reported to be in the range of 0.17% to 0.75%”32(p1615)

Temporal Includes mastoidectomy, cochlear implantation, lateral temporal bone resection 4 (1)
  • “Transient palsy…reported to range from 5% to 33%…permanent [FP] …reported to occur in 2% of cases [after implanting Esteem middle ear devices]”33(p429)

  • “Rates [of FP] reported to be 0.6–3.7% for primary tympanomastoidectomy and 4–10% for revision tympanomastoidectomy”1(p260)

Intracranial Includes approaches for acoustic neuroma/vestibular schwannoma resection (translabyrinthine, retrosigmoid craniotomy, middle fossa craniotomy); middle fossa approach for temporal bone CSF leak or meningocele repair 126 (40) “Immediately after removal of a vestibular schwannoma or neuroma of the acoustic nerve, various degrees of facial nerve palsy arise in 20–70% of patients”8(p58)
Incomplete reportinga NA 13 (4) NA

Abbreviations: CSF, cerebrospinal fluid; FP, facial paralysis; NA, not applicable; TMJ, temporomandibular joint.

a

Incomplete reporting refers to patients for whom the type of surgery was not specifically stated.