Lee D-H, Chae S-Y, Park Y-S, Yeo S-W
Department of Otolaryngology - Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Clin Otolaryngol. 2006 Apr;31(2):144-8. doi: 10.1111/j.1749-4486.2006.01165.x.
This study evaluated the accuracy of electroneurography to predict the prognosis of Bell's palsy and Ramsay-Hunt's syndrome.
A retrospective, institutional review board-approved study.
A secondary referral and a university-based centre.
The patients had been treated for a sudden onset unilateral facial paralysis over the past 10 years (1994-2004). This retrospective study included only those patients who had been followed up for at least 3 months or if they had reached a complete recovery before then.
House-Backmann grade versus electroneurography value.
The recovery rates to House-Brackmann grade II or better were 95% in those with Bell's palsy and 84% in those with herpes zoster oticus. The electroneurography value of the recovery and non-recovery groups from those with either Bell's palsy or herpes zoster oticus was similar. The logistic regression model between the electroneurography values and the probability of recovery showed no correlation in those with Bell's palsy or with herpes zoster oticus. This study did not identify the proper electroneurography value that had enough appropriate sensitivity and specificity to predict the prognosis of paralysis accurately in Bell's palsy or in herpes zoster oticus patients.
Electroneurography performed between day 7 and 10 for Bell's palsy or day 10 and 14 for herpes zoster oticus does not provide accurate information on the prognosis or recovery rate of the facial paralysis.
本研究评估了神经电图预测贝尔面瘫和拉姆齐-亨特综合征预后的准确性。
一项经机构审查委员会批准的回顾性研究。
一家二级转诊中心和一所大学附属医院。
患者在过去10年（1994 - 2004年）因突发单侧面瘫接受治疗。这项回顾性研究仅纳入那些至少随访3个月的患者，或者那些在此之前已完全康复的患者。
House-Backmann分级与神经电图值。
贝尔面瘫患者恢复至House-Brackmann II级或更好的比例为95%，耳带状疱疹患者为84%。贝尔面瘫或耳带状疱疹患者中恢复组和未恢复组的神经电图值相似。神经电图值与恢复概率之间的逻辑回归模型显示，贝尔面瘫患者或耳带状疱疹患者之间无相关性。本研究未确定在贝尔面瘫或耳带状疱疹患者中能准确预测面瘫预后且具有足够敏感性和特异性的合适神经电图值。
在贝尔面瘫发病第7至10天或耳带状疱疹发病第10至14天进行的神经电图检查，无法提供有关面瘫预后或恢复率的准确信息。
