Citron D, Adour K K
Arch Otolaryngol. 1978 Jun;104(6):303-6. doi: 10.1001/archotol.1978.00790060005001.
An extensive research protocol was used to evaluate the conditions of 48 consecutive patients with acute facial paralysis. The results indicated that after nerve excitability testing, the acoustic reflex was the most efficient indicator of impending nerve degeneration and predictor of recovery. The presence of increased sensitivity to intense acoustic stimuli (loudness discomfort level) indicated poor prognosis. The data demonstrate that dysacusis (hyperacusis) is not related to stapedial muscle paralysis and also question the validity of "topographic diagnosis" in determination of the site of the lesion in facial paralysis.
采用广泛的研究方案对48例连续性急性面瘫患者的病情进行评估。结果表明，在神经兴奋性测试后，听觉反射是即将发生神经变性的最有效指标和恢复的预测指标。对强烈听觉刺激（响度不适阈）敏感性增加表明预后不良。数据表明，听觉障碍（听觉过敏）与镫骨肌麻痹无关，也对面瘫病变部位判定中“定位诊断”的有效性提出质疑。
