Jóri J, Ribári O
Acta Chir Hung. 1987;28(2):119-28.
In 17 patients with Bell's palsy not treated or not responding to conservative therapy, vertical and horizontal decompressions were performed between days 7 and 10, relying primarily on the findings of neuromyography. Four patients (23.5%) recovered fully. Further 35 patients were operated after the regeneration period for absence of reinnervation signs between the 3rd to 6th months. An unusually marked and rapid improvement was noted in a 20-year-old female patient. In a 49-year-old male patient a neurinoma was found on the tympanal section of the facial nerve. Residual symptoms were significantly milder after early and late decompressions compared to spontaneous recovery of paralysis associated with total degeneration. There was no difference between the two operated groups.
对于17例未接受治疗或对保守治疗无反应的贝尔面瘫患者，在第7至10天进行了垂直和水平减压，主要依据神经肌电图检查结果。4例患者（23.5%）完全康复。另外35例患者在第3至6个月因缺乏神经再支配迹象而在再生期后接受手术。在一名20岁女性患者中观察到异常显著且迅速的改善。在一名49岁男性患者中，在面神经鼓室段发现了一个神经鞘瘤。与完全变性相关的面瘫自发恢复相比，早期和晚期减压后的残留症状明显较轻。两个手术组之间没有差异。
