Ardiç F N, Ardiç F, Topaloglu J, Oncel S, Uguz M Z, Topalogu D
Department of Otolaryngology, Head and Neck Surgery, Izmir State Hospital, Turkey.
Acta Otolaryngol. 1997 May;117(3):325-8. doi: 10.3109/00016489709113402.
Our purpose is to investigate the electrophysiological characteristics of Bell's palsy and to obtain clues for estimating prognosis in the late period by using electroneurography. Thirty-three patients were followed by electroneurography over a period of 12 months. They were classified according to House-Brackman system. At the end of the follow-up, 100% of grade II-III patients, and 61% of grade IV patients recovered completely. Thirty per cent of grade IV patients recovered as grade II, and one grade IV (8%) and one grade V (100%) patient had bad prognoses (grade IV). There were significant differences between each group in the time course between the first and third months of onset. We concluded that the amount of non-degenerated synchronous fibres can allow us to estimate prognosis of Bell's palsy, especially between the first and third month of onset, if we make serial tests.
我们的目的是研究贝尔面瘫的电生理特征，并通过使用神经电图来获取晚期预后评估的线索。33例患者接受了为期12个月的神经电图随访。他们根据House-Brackman系统进行分类。随访结束时，II - III级患者100%完全恢复，IV级患者61%完全恢复。30%的IV级患者恢复为II级，1例IV级（8%）和1例V级（100%）患者预后不良（IV级）。发病后第一个月和第三个月之间的时间进程在各组之间存在显著差异。我们得出结论，如果进行系列测试，未退化同步纤维的数量可以使我们评估贝尔面瘫的预后，尤其是在发病后的第一个月和第三个月之间。
