Karatay S, Katircioğlu S, Erbengi T
Acta Otolaryngol. 1976 Mar-Apr;81(3-4):304-14. doi: 10.3109/00016487609119967.
Our ultrastructural findings in investigated cases of Bell's palsy have demonstrated that the degenerative changes did not proceed at the same speed from the onset of the paralysis--in other words the regeneration changed in accordance with the topography of the nerve. Although the endoneural sheath preserved its integrity, swellings in the Schwann cells have attracted much attention. Furthermore the perineural tissue presented changes which were closely correlated with the degenerative and regenerative processes due to paralysis. In addition to these findings, although the interval between the onset of paralysis and the operation was the same in all our cases, the observation of a more severe degenerative picture of the nerves in the female patients may seem to be an interesting finding, but to the lack of an adequate number of cases which would enable a statistical evaluation, we are strongly, of the opinion that this subject deserves further study.
我们对贝尔麻痹病例的超微结构研究结果表明，从麻痹发作开始，退行性变并非以相同速度进行——换句话说，再生根据神经的局部解剖情况而变化。虽然神经内膜鞘保持完整，但施万细胞中的肿胀备受关注。此外，神经周组织呈现出与麻痹引起的退行性和再生过程密切相关的变化。除了这些发现，尽管我们所有病例中麻痹发作与手术之间的间隔相同，但女性患者神经出现更严重退行性病变这一观察结果似乎是个有趣的发现，但由于缺乏足够数量的病例进行统计学评估，我们强烈认为这个问题值得进一步研究。
