Cotin G, Bodard M, Paquelin F, Garabedian N
Ann Otolaryngol Chir Cervicofac. 1983;100(5):327-32.
Forty-four cases of neonatal facial paralysis have been treated in the ENT department for children in the hôpital Trousseau, paris. In nearly half of the cases the etiology was related to nervous or muscular aplasia, while in the other cases of traumatic, infective, or doubtful etiology, the severity and course of the paralysis served as a guide to choice of therapy. Surgery was indicated in only 13 cases and recovery was obtained in 4 infants, with more or less marked sequelae. Prognosis is very poor in cases treated at a late stage, especially when the nerve appears to be greatly altered or compressed by callus. Surgical exploration should therefore be undertaken reasonably early (6 weeks to 2 months) when total paralysis persists or becomes worse after initial improvement.
巴黎特鲁索医院儿科耳鼻喉科已治疗44例新生儿面瘫。近半数病例的病因与神经或肌肉发育不全有关，而在其他病因是创伤性、感染性或病因不明的病例中，面瘫的严重程度和病程作为治疗选择的指导。仅13例患者接受了手术治疗，4例婴儿恢复，但或多或少留下明显后遗症。晚期治疗的病例预后很差，尤其是当神经似乎因骨痂而发生严重改变或受压时。因此，当完全性面瘫持续存在或在最初改善后恶化时，应在相当早的时间（6周至2个月）进行手术探查。
