Ralli G, Magliulo G, Gagliardi M
Clin Otolaryngol Allied Sci. 1986 Aug;11(4):261-5. doi: 10.1111/j.1365-2273.1986.tb01927.x.
In Bell's palsy the stapedial reflex may be affected or not. The object of this paper was to study the evolution of the stapedial reflex and its latency pattern during the first weeks of paralysis and to correlate these parameters with the evolution of the disease. One hundred and thirty-three patients with Bell's palsy were evaluated, and the patients could be divided into 3 groups. Group 1 was composed of subjects in whom the stapedial reflex was present in the first week of paralysis and complete recovery of facial function occurred in 30-60 days. In group 2 the stapedial reflex reappeared between the eighth and thirty-fifth days post-onset and facial function recovered within 150 days. In group 3, the stapedial reflex reappeared between the thirty-sixth and seventieth day and some paralysis was still present after 1 year. These results suggest that the reflex is important for prognostic purposes.
在贝尔面瘫中,镫骨肌反射可能受到影响,也可能不受影响。本文的目的是研究麻痹最初几周内镫骨肌反射的演变及其潜伏期模式,并将这些参数与疾病的演变相关联。对133例贝尔面瘫患者进行了评估,这些患者可分为3组。第1组由在麻痹第一周存在镫骨肌反射且面部功能在30至60天内完全恢复的受试者组成。第2组中,镫骨肌反射在发病后第8天至第35天之间重新出现,面部功能在150天内恢复。第3组中,镫骨肌反射在第36天至第70天之间重新出现,1年后仍存在一些麻痹症状。这些结果表明,该反射对预后评估很重要。