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May等曾介绍发病头二周的面神经麻痹患者的流泪、颌下腺流量试验失去正常反应,最大刺激和诱发肌电图反应消失前,选择性地作面神经减压术,面部功能获得改善。但以后作者发现这种预断没有根据。本文目的是对作者以前的研究和新设计的即用手术配合支持疗法进行治疗的结果进行对比研究。 1974年8月～1983年7月研究了面神经减压术对Bell氏麻痹自然病史影响。研究对象是发病14天内、单侧、首次发病、6个月或6个月以上不恢复、排除头部带状疱疹者共273例。根据麻
May et al. Introduced tears in patients with facial nerve paralysis for the first two weeks of onset. Submandibular gland flow tests loses their normal response and facial stimulation is selectively attenuated before maximal stimulation and induced electromyographic reaction disappear. Facial function is improved. But later the author found that this prediction is unfounded. The purpose of this paper is to compare the authors’ results of previous studies and newly designed out-of-box operations with supportive therapies. From August 1974 to July 1983, we studied the effect of facial nerve decompression on the natural history of Bell’s palsy. The study object is within 14 days of onset, unilateral, initial onset, 6 months or more than 6 months without recovery, excluding head shingles a total of 273 cases. According to Ma