Pialoux P, Freyss G, Beauvillain de Montreuil C
Ann Otolaryngol Chir Cervicofac. 1975 May-Jun;92(4-5):205-12.
We have already shown the spontaneous development over a period of time of idiopathic facial paralysis, in relation to the extent of the resulting disfigurement, by means of analytical clinical measurement representing the sum of 19 factors constituting the force of contraction, tonus, coordination and hemispasm. This spontaneous development takes place in 3 stages: --an initial period up to the 15th day; --an intermediate period during which there is clinically total facial paralysis; --a period of recuperation. The duration of this development in relation to the extent of sequelae enables a rough distinction to be made between: a) benign facial paralysis in which disfigurement is nil or very slight (1 to 6 p. 100), incomplete paralysis or complete paralysis in which recuperation starts about the 15th day at the earliest, or at about the 4th month at the latest; c) very serious facial paralysis with moderate (38 to 66 p. 100), or considerable (66 to 100 p. 100) disfigurement and in which recuperation starts at the end of the 3rd month at the earliest. The authors have attempted to indicate how effective very prompt quantitative electrical procedures are in helping to assess the seriousness of ultimate permanent disfigurement (see article).
我们已经通过分析性临床测量,展示了特发性面神经麻痹在一段时间内的自然发展情况,该测量涉及构成收缩力、张力、协调性和半侧痉挛的19个因素的总和,并与由此产生的毁容程度相关。这种自然发展分为三个阶段:——至第15天的初始阶段;——临床上出现完全性面神经麻痹的中间阶段;——恢复阶段。这种发展的持续时间与后遗症的程度相关,这使得可以大致区分出:a) 良性面神经麻痹,其中毁容为零或非常轻微(1%至6%),不完全麻痹或完全麻痹,恢复最早在第15天左右开始,最晚在大约第4个月开始;c) 非常严重的面神经麻痹,伴有中度(38%至66%)或相当严重(66%至100%)的毁容,恢复最早在第3个月末开始。作者试图指出非常迅速的定量电程序在帮助评估最终永久性毁容的严重性方面有多有效(见文章)。