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PubMed · 6621212

[New stapedius reflex patterns].

Abstract

Basing on the stapedius reflex patterns, published by Jerger, the author reports about stapedius reflex patterns of patients who had recovered from facial palsy. The reflex patterns of these patients did not correspond to those which could be expected; they did not reflect the damaged and the undamaged branch of the acousticofacial reflex band, but showed patterns indicating a lesion of the brainstem. On the basis of these findings the question arises whether the lesion in Bell's palsy is really peripheral or central.

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BibTeXRIS

E Draskovich. 1983. [New stapedius reflex patterns].. https://pubmed.ncbi.nlm.nih.gov/6621212/

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Facial nerve stimulation and postparotidectomy facial paresis.

OBJECTIVE: We sought to evaluate the association of intraoperative facial nerve stimulation and postoperative facial nerve paresis/paralysis. STUDY DESIGN AND SETTING: Eighty-nine consecutive patients who underwent parotidectomy by a single surgeon were retrospectively analyzed for age, gender, size of tumor, tumor histology, and intraoperative use of a facial nerve stimulator. RESULTS: Facial paresis developed in 22% (10 of 46) of the patients who were stimulated and 22% (5 of 23) of the nonstimulated patients. These results were not statistically significant (P = 1.0000). There was no permanent paralysis in either group. The tumor type and size and gender and age of the patient did not affect the outcome. CONCLUSION: There was no difference in the incidence of postoperative facial nerve paresis or paralysis between the stimulated and nonstimulated patients. Routine use of a stimulator is not necessary during parotid surgery because its use does not prevent or promote facial nerve injury.

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