Hostname: page-component-848d4c4894-xfwgj Total loading time: 0 Render date: 2024-07-05T21:13:47.891Z Has data issue: false hasContentIssue false
  • English
  • Français

Observer variations in the evaluation of facial nerve function after acoustic neuroma surgery

Published online by Cambridge University Press:  29 June 2007

Christian Buchwald ,
Mirko Tos ,
Jens Thomsen ,
Henrik MØller  and
Agnete Parving
Christian Buchwald*
Affiliation:
ENT Department, Gentofte University Hospital and Department of Audiology, Bispebjerg Hospital, University of Copenhagen, Denmark
Mirko Tos
Affiliation:
ENT Department, Gentofte University Hospital and Department of Audiology, Bispebjerg Hospital, University of Copenhagen, Denmark
Jens Thomsen
Affiliation:
ENT Department, Gentofte University Hospital and Department of Audiology, Bispebjerg Hospital, University of Copenhagen, Denmark
Henrik MØller
Affiliation:
ENT Department, Gentofte University Hospital and Department of Audiology, Bispebjerg Hospital, University of Copenhagen, Denmark
Agnete Parving
Affiliation:
ENT Department, Gentofte University Hospital and Department of Audiology, Bispebjerg Hospital, University of Copenhagen, Denmark
*
Christian Buchwald, M.D., Bakkedal 10, DK-2900 Hellerup, Denmark
Get access Rights & Permissions [Opens in a new window]

Abstract

This investigation was performed in order to evaluate the observer variations in facial nerve function after surgery for an acoustic neuroma. From 1976–90, 507 patients were operated on by the same surgical team (M.T. and J.T.) using a translabyrinthine approach. One hundred and forty-four patients living in Copenhagen City and County were invited for interview and objective examination. Only 128 patients attended the interview and examination which were carried out by the same ENT physician. Data concerning observation of the facial nerve function only is presented. Its function was clinically evaluated (using the House and Brackmann (1985) grading scale) by two different observers i.e the ENT physician and one of the surgeons. The patients were asked face-to-face with the ENT physician to estimate the degree of facial nerve function according to a 0–100 per cent scale. Comparing normal and abolished facial nerve function the judgments of the ENT physician and the surgeon agreed with the patient‘s own evaluation.

Keywords

Facial nerveNeuromaacoustic
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 12 , December 1993 , pp. 1119 - 1121
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ciba Scientific Tables, (1970) R.J. Geigy, Switzerland.Google Scholar
Evans, R. A., Harries, M. L., Baguley, D. M.Moffat, D. A. (1989) Reliability of the House and Brackmann grading system for facial palsy. Journal of Laryngology and Otology 103: 1045–1046CrossRefGoogle ScholarPubMed
Glasscock, M. E., Heys, J. W., Jackson, C. C.Stennerson, R. L. (1988) A one-stage combined approach for the management of large cerebellopontine angle tumors. Laryngoscope 88: 1563–1576CrossRefGoogle Scholar
House, W. F. (1964) Transtemporal bone microsurgical removal of acoustic neuromas. Archives of Otolaryngology 80: 599–676Google ScholarPubMed
House, W. F. (1979) Translabyrinthine approach. In Acoustic Tumors, Vol. 11. (House, W. E, Luztje, G. M., eds.). University Park Press, Baltimore, pp 43–86Google Scholar
House, J. W., Brackmann, D. E. (1985) Facial nerve grading system. Otolaryngology-Head and Neck Surgery 93: 146–147CrossRefGoogle ScholarPubMed
Maddox, H. E. (1977) The lateral approach to acoustic tumors. Laryngoscope 87: 1572–1578CrossRefGoogle ScholarPubMed
Parving, A., Tos, M.Thomsen, J., MØller, H., Buchwald, C. (1992) Some aspects of life quality after surgery for an acoustic neuroma. Archives of Otolaryngology-Head and Neck Surgery 118: 1061–1064CrossRefGoogle Scholar
Tos, M., Thomsen, J. (1984) Preservation and reconstruction of the facial nerve after translabyrinthine removal of 200 acoustic neuromas. Advances in Oto-Rhino-Laryngology 34: 176–186CrossRefGoogle ScholarPubMed
Tos, M., Thomsen, J., Harmsen, A. A. (1988) Is preservation of hearing of acoustic neuroma worthwhile? Acta Oto-Laryngologica 452 (suppl.): 57–68Google ScholarPubMed
Wiegand, D. A., Fickel, V. (1989) Acoustic neuroma–the patients perspective: subjective assessment of symptoms, diagnosis, therapy and outcome in 541 patients. Laryngoscope 99: 179–187CrossRefGoogle ScholarPubMed