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PubMed1981

Melkersson-Rosenthal syndrome. A review of the literature and case report.

Melkersson-Rosenthal syndrome is an uncommon condition of obscure aetiology and uncertain pathogenesis. It is characterized by swelling of the lips or other parts of the face and mouth, Bell's palsy, and fissured tongue. Disturbances of salivary, lacrimal and nasal secretion, disorders of taste and vision, migraine, and febrile symptoms occasionally accompany the condition. Treatment is aimed at management of the facial paralysis and cosmetic reduction of established facial swelling.

Adult↗
PubMed1982

[Paralysis of the hypoglossal nerve after tonsillectomy? (author's transl)].

While injuries of the lingual nerve and the glossopharyngeal nerve in tonsillectomy are possible, a lesion of the hypoglossal nerve is not understandable because of its anatomical course. To see a connection between the lesion of the nerve and a tonsillectomy is probably due to a wrong anatomical concept or incorrect topographical figures. Seen from the oral cavity, the hypoglossal nerve lies behind the great arteries and has, in the region of the floor of the mouth, no direct connection with the tonsil. The medicolegal aspects are reported. Lesion of the hypoglossal nerve might be possible only in bronchoscopy or in direct laryngoscopy.

Adult↗
PubMed1978

[Disturbances of taste from oral disinfectants (author's transl)].

Oral disinfectants containing chlorhexidine or hexetidine are able to produce disturbances of taste, as demonstrated by Krarup's electrogustometric method and the gustometric method of Harris and Kalmus. Hypo- and dysgeusia are characterized by dissociated disturbances, the most prominent of which concerns the sweet perception. The bitter taste is least affected, whereas the effects on salty and acidic tastes range between that for sweet and bitter. Taste disturbances which include ageusia for 48 h were observed when the tongue was touched with a 20% solution of chlorhexidine. Not only the disinfectants themselves provoked dysgeusia but also other "taste improving" agents (particularly, the volatile oild). In addition to dysgeusia, the authors found disturbances of the mucous membrane sensitivity caused by the test substances.

Adult↗
PubMed1982

The natural history of Bell's palsy.

The purpose of this investigation was to explain the spontaneous course of idiopathic facial palsy without treatment of any kind. The investigation included 1011 patients seen over a fifteen-year period. The patients were checked at short intervals until remission occurred, and these checks were discontinued only when normal function was restored or after a period of one year. For 85 percent of patients the first signs of remission were observed within three weeks after the outbreak; for the last 15 percent remission occurred three to six months later. Seventy-one percent recovered normal mimical function of the face, 13 percent had insignificant sequelae, and the last 16 percent had permanently diminished function with contracture and associated movements.

Adolescent↗