- Gantz BJ, Rubinstein JT, Gidley P, et al (Univ of Iowa, Iowa City)
Surgical Management of Bell’s Palsy
Laryngoscope 109: 1177-1188, 1999
The association of poor outcome of the Bell’s Palsy recovery and electrical testing is studied.
Electroneurography (ENOG) combined with voluntary electromyography (EMG) identify patients most likely to return to normal and also patients which are likely to develop long term sequelae.
Surgical decompression medical to the geniculate ganglion significantly improved the palsy to near normal in those identified patients (likely to have poor return of function). Decompression must be done within 2 weeks of the onset of total paralysis.
M.M. Paparella: This prospective study began in 1982, when control subjects were not combined with acyclovir and steroids. Now with this combination it has considerably improved the outcome, it remains to be seen whether surgery is superior to these drugs as far as outcome is considered.