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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >Electroneurographic facial muscle pattern in Bell's palsy.
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Electroneurographic facial muscle pattern in Bell's palsy.

机译：贝尔麻痹的脑神经电图。

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摘要

To study the electroneurographic facial muscle pattern in Bell's palsy over time, electroneurographic recordings in the frontalis, orbicularis oculi, nasalis, and mentalis muscle regions were performed early (mean, day 11) and 1 and 3 months after the onset of the condition in 30 consecutive patients. The correlation between facial muscle electroneurographic recordings over time was also calculated. An additional aim was to assess whether further prognostic information could be obtained by electroneurographic recordings in more than one facial region. The recovery pattern was similar in all 4 facial regions. Initially, the correlation between the facial recordings was weak (r = 0.20-0.27), but it was improved at follow-up examinations (r = 0.33-0.65). Favorable outcome in 23 of 24 patients (96%) could have been predicted by the initial nasalis and/or mentalis recordings. The gap between patients with favorable outcome and patients with unfavorable outcome increased when the average electroneurography values were calculated from 1, 2, and 4 muscle recordings (4%, 8%, and 15%, respectively). Our results indicate that in Bell's palsy, electroneurographic examination of more than one facial muscle region may add prognostic information and that the degree of degeneration is initially different in the nerve branches.
机译：为了研究随时间推移贝尔麻痹的电镜检查，在额叶病发作初期（平均第11天）以及发病后1和3个月，对额肌，眼球，鼻窦和脑膜肌肉区域进行电镜记录。连续患者。还计算了随时间变化的面部肌肉电描记记录之间的相关性。另一个目的是评估是否可以通过一个或多个面部区域的电描记记录获得更多的预后信息。所有四个面部区域的恢复模式均相似。最初，面部记录之间的相关性较弱（r = 0.20-0.27），但在后续检查中有所改善（r = 0.33-0.65）。最初的鼻腔和/或心理记录可预测24例患者中有23例（96％）的预后良好。从1、2和4个肌肉记录（分别为4％，8％和15％）计算出平均电描记数时，结果良好的患者和结果不利的患者之间的差距会增大。我们的结果表明，在贝尔麻痹中，对多个面部肌肉区域进行电镜检查可能会增加预后信息，并且变性的程度最初在神经分支中是不同的。

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