Lathrop F D
Laryngoscope. 1976 Aug;86(8):1209-17. doi: 10.1288/00005537-197608000-00013.
The treatment of Bell's palsy has been a controversial subject for many years. During the past 10 years 152 papers pertaining to this affection of the facial nerve have apperaed in the American literature. Ninety-seven of these were general discussions of the etiology, pathology, prognosis and treatment of this condition: 20 were concerned with ascertaining the status of the facial nerve by electrical tests and four with the activity of the chorda tympani nerve in patients with Bell's palsy. The remaining 31 articles specifically discussed the treatment of Bell's palsy. As a result of this obvious interest in Bell's palsy, one would expect that the treatment of this affection of the facial nerve would be more or less uniform at this time. This is not the case, however, for the literature demonstrates it to be in a state of flux. Although steroid therapy has replaced other regimens of medical therapy to a large extent, surgical intervention still has its proponents. It is interesting to note that at the time of this review of the literature, no report of a controlled, double-blind study of the efficacy of steroid therapy for Bell's palsy has appeared in the American literature.
多年来，贝尔面瘫的治疗一直是一个有争议的话题。在过去10年里，美国文献中出现了152篇与这种面神经疾病相关的论文。其中97篇是关于该病病因、病理、预后及治疗的一般性讨论；20篇关注通过电测试确定面神经的状态，4篇关注贝尔面瘫患者鼓索神经的活动。其余31篇文章专门讨论了贝尔面瘫的治疗。鉴于对贝尔面瘫的明显关注，人们可能会认为此时对面神经这种疾病的治疗或多或少会是统一的。然而，情况并非如此，因为文献表明它仍处于不断变化的状态。尽管类固醇疗法在很大程度上已取代了其他药物治疗方案，但手术干预仍有其支持者。有趣的是，在撰写这篇文献综述时，美国文献中尚未出现关于类固醇疗法治疗贝尔面瘫疗效的对照双盲研究报告。
