Race and sex demographics in the surgical management of facial nerve palsy.
facial palsy
facial reanimation
racial disparities
sex disparities
surgical management
Journal
Laryngoscope investigative otolaryngology
ISSN: 2378-8038
Titre abrégé: Laryngoscope Investig Otolaryngol
Pays: United States
ID NLM: 101684963
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
received:
28
11
2022
revised:
26
02
2023
accepted:
04
03
2023
medline:
21
6
2023
pubmed:
21
6
2023
entrez:
21
6
2023
Statut:
epublish
Résumé
Facial palsy affects patients of all backgrounds, yet no existing studies describe differences in its treatment patterns between demographic groups. We used the National Surgical Quality Improvement Project database to investigate whether race and sex disparities exist in facial reanimation surgery. Patients were identified using CPT codes corresponding to facial-nerve procedures. Seven hundred sixty-one patients met criteria; 681 self-identified as White (89.5%), 51 as Black (6.7%), 43 as Hispanic (5.6%), 23 as Asian (3.0%), and 5 patients as other (0.61%). White patients were more than twice as likely to undergo brow ptosis repair than Non-White patients (OR 2.49, 95% CI 1.16-6.15, Most patients undergoing facial reanimation surgery in the United States are White. Men have longer operative times and a higher likelihood of undergoing free fascial grafts and cutaneous and fascial free tissue transfer than women regardless of malignancy status. 2c.
Identifiants
pubmed: 37342124
doi: 10.1002/lio2.1053
pii: LIO21053
pmc: PMC10278109
doi:
Types de publication
Journal Article
Langues
eng
Pagination
639-644Informations de copyright
© 2023 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society.
Références
Plast Reconstr Surg. 1976 Feb;57(2):133-43
pubmed: 1250883
JAMA Facial Plast Surg. 2018 Dec 01;20(6):480-487
pubmed: 30178066
Otolaryngol Clin North Am. 2018 Dec;51(6):1011-1017
pubmed: 30104039
JAMA Facial Plast Surg. 2018 Jul 01;20(4):300-306
pubmed: 29566121
JAMA Facial Plast Surg. 2017 Mar 01;19(2):139-146
pubmed: 27892977
World J Surg. 2022 Apr;46(4):776-783
pubmed: 34989836
Laryngoscope. 2014 Nov;124(11):2489-97
pubmed: 24966145
Head Neck. 2018 Mar;40(3):561-568
pubmed: 29155463
BMC Health Serv Res. 2012 Aug 21;12:268
pubmed: 22909260
Otolaryngol Clin North Am. 2018 Dec;51(6):1129-1139
pubmed: 30104040
JAMA Facial Plast Surg. 2017 May 01;19(3):190-196
pubmed: 27930763
Cancer Metastasis Rev. 2003 Mar;22(1):25-38
pubmed: 12716034
Anticancer Res. 2019 Jun;39(6):2969-2973
pubmed: 31177137
JAMA Facial Plast Surg. 2019 Dec 01;21(6):551-557
pubmed: 31670745
Ear Nose Throat J. 1996 Jun;75(6):355-8
pubmed: 8689964
JAMA Facial Plast Surg. 2019 Jan 01;21(1):50-55
pubmed: 30326024
JAMA Facial Plast Surg. 2014 Mar-Apr;16(2):85-92
pubmed: 24481538