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Prognostic Determination and Submandibular Function in Bell's Palsy: Dynamic Testing With Technetium Tc 99m

Prognostic Determination and Submandibular Function in Bell's Palsy: Dynamic Testing With... Abstract • In 56 patients with Bell's palsy, a submandibular gland function test employing a dynamic technetium Tc 99m scan was performed, to study the relationship between the test results and the prognosis of paralysis. Patients who had no difference in function on the affected facial side compared with the healthy side during the test (performed within ten days after symptomatic onset) had a high rate of early improvement. Patients who showed no response to the salivary secretory stimulant administered had an incomplete recovery and were all considered for surgery. Prognosis within ten days after onset was possible in as many as 37 of the 56 cases. (Arch Otolaryngol 1985;111:244-248) References 1. May M, Harvey JE: Salivary flow: A prognostic test for facial paralysis . Laryngoscope 1971;81:179-192.Crossref 2. May M, Hawkins CD: Bell's palsy: Results of surgery: Salivation test versus nerve excitability test as a basis of treatment . Laryngoscope 1971; 82:1337-1348.Crossref 3. May M, Hardin WB, Sullivan J, et al: Natural history of Bell's palsy: The salivary flow test and other prognostic indicators . Laryngoscope 1976;86:704-712.Crossref 4. Bernard AM, Duraffour AM: Exploration radioisotopique des glands salivaries par le tecinetium 99m au cours des paralysis faciales . J Fr Otorhinolaryngol 1972;21:417-419. 5. Rosen G, Vered IY, Fedchteyn SC: Submandibular salivary gland scan: A prognostic indicator of Bell's palsy: A preliminary report . J Laryngol Otol 1980;94:1021-1024.Crossref 6. Magielski JE, Blatt IM: Submaxillary salivary flow: A test of chorda tympani nerve function as an aid in diagnosis and prognosis of facial nerve paralysis . Laryngoscope 1958;68:1770-1789.Crossref 7. McAfee JG, Fueger CF: 99mTc pertechnetate for brain scanning . J Nucl Med 1964;5:811-827. 8. Harden RM, Hidith TE: Uptake and scanning of the salivary glands in man using pertechnetate-99mTc . Clin Sci 1967;32:49-55. 9. Kiuch S, Ohshima M: Functional studies of the major salivary glands using 99mTc-pertechnetate . Nippon Jibiinkoka Gakkai Kaiho 1979; 82:282-288.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Prognostic Determination and Submandibular Function in Bell's Palsy: Dynamic Testing With Technetium Tc 99m

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1985.00800060068009
Publisher site
See Article on Publisher Site

Abstract

Abstract • In 56 patients with Bell's palsy, a submandibular gland function test employing a dynamic technetium Tc 99m scan was performed, to study the relationship between the test results and the prognosis of paralysis. Patients who had no difference in function on the affected facial side compared with the healthy side during the test (performed within ten days after symptomatic onset) had a high rate of early improvement. Patients who showed no response to the salivary secretory stimulant administered had an incomplete recovery and were all considered for surgery. Prognosis within ten days after onset was possible in as many as 37 of the 56 cases. (Arch Otolaryngol 1985;111:244-248) References 1. May M, Harvey JE: Salivary flow: A prognostic test for facial paralysis . Laryngoscope 1971;81:179-192.Crossref 2. May M, Hawkins CD: Bell's palsy: Results of surgery: Salivation test versus nerve excitability test as a basis of treatment . Laryngoscope 1971; 82:1337-1348.Crossref 3. May M, Hardin WB, Sullivan J, et al: Natural history of Bell's palsy: The salivary flow test and other prognostic indicators . Laryngoscope 1976;86:704-712.Crossref 4. Bernard AM, Duraffour AM: Exploration radioisotopique des glands salivaries par le tecinetium 99m au cours des paralysis faciales . J Fr Otorhinolaryngol 1972;21:417-419. 5. Rosen G, Vered IY, Fedchteyn SC: Submandibular salivary gland scan: A prognostic indicator of Bell's palsy: A preliminary report . J Laryngol Otol 1980;94:1021-1024.Crossref 6. Magielski JE, Blatt IM: Submaxillary salivary flow: A test of chorda tympani nerve function as an aid in diagnosis and prognosis of facial nerve paralysis . Laryngoscope 1958;68:1770-1789.Crossref 7. McAfee JG, Fueger CF: 99mTc pertechnetate for brain scanning . J Nucl Med 1964;5:811-827. 8. Harden RM, Hidith TE: Uptake and scanning of the salivary glands in man using pertechnetate-99mTc . Clin Sci 1967;32:49-55. 9. Kiuch S, Ohshima M: Functional studies of the major salivary glands using 99mTc-pertechnetate . Nippon Jibiinkoka Gakkai Kaiho 1979; 82:282-288.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Apr 1, 1985

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