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Facial Palsy: Facial Nerve Decompression

Facial Palsy: Facial Nerve Decompression Abstract BELL'S palsy is one of the controversial problems in modern medicine, because the prognosis is unpredictable and its management has been debatable. At the New York Eye and Ear Infirmary we decided, in 1964, to start a control study on patients with Bell's palsy using as our guide clinical findings and electrical testing in order to forecast the prognosis of this disease. Carefully selected patients would then be offered facial decompression if deemed advisable. We would then compare the result of those that accepted the surgical treatment with those that refused surgical intervention and finally compare them with patients we felt would recover spontaneously only from medical management. Up to the present time, to the best of our knowledge, the literature has not supplied us with a good controlled follow-up study which includes the results in those cases who did not submit to a decompression procedure. To be able to References 1. Kettel, K.: Pathology and Surgery of Bell's Palsy , Laryngoscope 73:837 ( (July) ) 1963.Crossref 2. Kettel, K.: Peripheral Facial Palsy , Springfield, Ill: Charles C Thomas, Publisher, 1959. 3. Sade, J., and Levy, E.: Surgery and Pathology of Bell's Palsy , Arch Otolaryng 82:594 ( (Dec) ) 1965.Crossref 4. Lathrop, F.D.: "Facial Paralysis: Prevention and Treatment 2," in Coates, G.M., and Schenk, H.P. (eds.): Otolaryngology , Hagerstown, Md: Prior Publishing Co., pp 1-31, chap 21. 5. Hilger, J.A.: Bell's Palsy , Minn Med 48:1463 ( (Nov) ) 1965. 6. Ballance, C., and Duel, A.B.: The Operative Treatment of Facial Palsy , Arch Otolaryng 15:1-70 ( (Jan) ) 1932.Crossref 7. Lewis, M.L.: Variation on Technique of Facial Nerve Decompression , Laryngoscope 66:1451 ( (Nov) ) 1956.Crossref 8. Jongkees, L.B.: Bell's Palsy: A Surgical Emergency? Arch Otolaryng 81:497-501 ( (May) ) 1965.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Facial Palsy: Facial Nerve Decompression

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1970.00770040056008
Publisher site
See Article on Publisher Site

Abstract

Abstract BELL'S palsy is one of the controversial problems in modern medicine, because the prognosis is unpredictable and its management has been debatable. At the New York Eye and Ear Infirmary we decided, in 1964, to start a control study on patients with Bell's palsy using as our guide clinical findings and electrical testing in order to forecast the prognosis of this disease. Carefully selected patients would then be offered facial decompression if deemed advisable. We would then compare the result of those that accepted the surgical treatment with those that refused surgical intervention and finally compare them with patients we felt would recover spontaneously only from medical management. Up to the present time, to the best of our knowledge, the literature has not supplied us with a good controlled follow-up study which includes the results in those cases who did not submit to a decompression procedure. To be able to References 1. Kettel, K.: Pathology and Surgery of Bell's Palsy , Laryngoscope 73:837 ( (July) ) 1963.Crossref 2. Kettel, K.: Peripheral Facial Palsy , Springfield, Ill: Charles C Thomas, Publisher, 1959. 3. Sade, J., and Levy, E.: Surgery and Pathology of Bell's Palsy , Arch Otolaryng 82:594 ( (Dec) ) 1965.Crossref 4. Lathrop, F.D.: "Facial Paralysis: Prevention and Treatment 2," in Coates, G.M., and Schenk, H.P. (eds.): Otolaryngology , Hagerstown, Md: Prior Publishing Co., pp 1-31, chap 21. 5. Hilger, J.A.: Bell's Palsy , Minn Med 48:1463 ( (Nov) ) 1965. 6. Ballance, C., and Duel, A.B.: The Operative Treatment of Facial Palsy , Arch Otolaryng 15:1-70 ( (Jan) ) 1932.Crossref 7. Lewis, M.L.: Variation on Technique of Facial Nerve Decompression , Laryngoscope 66:1451 ( (Nov) ) 1956.Crossref 8. Jongkees, L.B.: Bell's Palsy: A Surgical Emergency? Arch Otolaryng 81:497-501 ( (May) ) 1965.Crossref

Journal

Archives of Otolaryngology – American Medical Association

Published: Jan 1, 1970

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