https://www.db-thueringen.de/receive/dbt_mods_00065275https://www.db-thueringen.de/servlets/MCRFileNodeServlet/dbt_derivate_00067125/00405_2024_Article_9044.pdfhttps://www.db-thueringen.de/rsc/thumbnail/dbt_mods_00065275.png text article Surgery for facial palsy in the hands of otorhinolaryngologists a population-based study Alberts, Elisabeth Alberts Elisabeth Department of Otorhinolaryngology Jena, University Hospital Jena aut Author 1361985305 Ballmaier, Jonas Ballmaier Jonas Department of Otorhinolaryngology, Jena University Hospital, Jena Facial-Nerve-Center, Jena University Hospital, Jena Center for Rare diseases, Jena University Hospital, Jena aut Author 1292281464 article Boeger, Daniel Boeger Daniel Department of Otorhinolaryngology Zentralklinikum Suhl Germany aut Author Buentzel, Jens Buentzel Jens Department of Otorhinolaryngology Südharz-Krankenhaus gGmbH Nordhausen Germany aut Author Hoffmann, Kerstin Hoffmann Kerstin Department of Otorhinolaryngology Sophien/Hufeland-Klinikum Weimar Germany aut Author Podzimek, Jiří Podzimek Jiří Department of Otorhinolaryngology Klinikum Bad Salzungen Bad Salzungen Germany aut Author Kaftan, Holger Kaftan Holger Department of Otorhinolaryngology Helios-Klinikum Erfurt Germany aut Author urn:nbn:de:gbv:27-dbt-65275-7 Mueller, Andreas Mueller Andreas Department of Otorhinolaryngology SRH Wald-Klinikum Gera Germany aut Author Tresselt, Sylvia Tresselt Sylvia Department of Otorhinolaryngology Ilm-Kreis-Kliniken Arnstadt Germany aut Author Volk, Gerd Fabian Volk Gerd Fabian Department of Otorhinolaryngology, Jena University Hospital, Jena Facial-Nerve-Center, Jena University Hospital, Jena Center for Rare diseases, Jena University Hospital, Jena aut Author 134166876 Guntinas-Lichius, Orlando Guntinas-Lichius Orlando Department of Otorhinolaryngology, Jena University Hospital, Jena Facial-Nerve-Center, Jena University Hospital, Jena Center for Rare diseases, Jena University Hospital, Jena aut Author 0000-0001-9671-0784 1078441464 10.1007/s00405-024-09044-7 2025-02 282 2 1061 1073 continuingjournal journal European Archives of Oto-Rhino-Laryngology 0937-4477 1434-4726 Springer 1864 Berlin text en 610 Purpose: Modern facial surgery can improve eye closure and address facial functional and emotional expression disabilities in case of severe acute facial paralysis with low probability of recovery and in cases of chronic flaccid facial paralysis. Reports on outcome typically originate from specialized tertiary care centers, whereas population-based data from routine care beyond specialized centers is sparse. Methods: Therefore, patients’ characteristics, surgical techniques, postoperative complications, and patients’ satisfaction with the final outcome were analyzed for all inpatients with facial paralysis undergoing facial surgery in Thuringia, a federal state in Germany, between 2006 and 2022. 260 patients (female 41.5%; median age 65 years) were included. Results: On average, the surgery rate was higher for men than for women (0.83 ± 0.39 versus 0.58 ± 0.24 per 100,000 population per year). For first surgery, static procedures were dominating (67.3%), followed by dynamic reconstruction (13.8%), and combined static and dynamic reconstructions (13.5%). The most frequent type of surgery was upper lid weight loading (38.5%), hypoglossal-facial jump nerve suture (17.3%), and facial-facial interpositional graft suture (16.9%). Bleeding/hematoma formation needing revision surgery was the most frequent complication (6.2%). Overall, 70.4% of the patients were satisfied with the final result. The satisfaction was higher if the target was to improve eye closure (65.2%) or to improve upper face function (65.3%) than to improve the lower face function (53.3%). Conclusions: If facial nerve reconstruction surgery and/or upper lid weight placement was performed, the satisfaction was significantly higher. If revision surgery was needed to improve the result, the satisfaction was significantly lower. Facial nerve Facial palsy Facial paralysis Reconstructive surgery Facial reanimation Healthcare research en 13 Seiten 610 his Host institution Zweitveröffentlichung dbt_mods_00065275https://www.db-thueringen.de/receive/dbt_mods_00065275