Exploratory study on factors associated with poor prognosis despite positive stapedial reflex in peripheral facial nerve palsy

This study highlights that, despite SR positivity, VPFNP patients with pain, severe palsy (Y-score ≤ 10), or atypical presentations are at higher risk for non-cure. Combining SR results with early-stage clinical indicators based on simple patient evaluation enables accurate prognostic predictions, improving patient counseling and treatment planning.