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J Audiol Otol. 2016 Apr;20(1):8-12. doi: 10.7874/jao.2016.20.1.8. Epub 2016 Apr 21.

Clinical Efficacy of Electroneurography in Acute Facial Paralysis.

Journal of audiology & otology

Dong-Hee Lee

Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, Uijeongbu, Korea.

PMID: 27144227 PMCID: PMC4853888 DOI: 10.7874/jao.2016.20.1.8

Abstract

The estimated incidence of acute facial paralysis is approximately 30 patients per 100000 populations annually. Facial paralysis is an extremely frightening situation and gives extreme stress to patients because obvious disfiguring face may cause significant functional, aesthetic, and psychological disturbances. For stressful patients with acute facial paralysis, it is very important for clinicians to answer the questions like whether or not their facial function will return to normal, how much of their facial function will be recovered, and how long this is going to take. It is also important for clinicians to treat the psychological aspects by adequately explaining the prognosis, in addition to providing the appropriate medical treatment. For decades, clinicians have used various electrophysiologic tests, including the nerve excitability test, the maximal stimulation test, electroneurography, and electromyography. In particular, electroneurography is the only objective measure that is useful in early stage of acute facial paralysis. In this review article, we first discuss the pathophysiology of injured peripheral nerve. And then, we describe about various electrophysiologic tests and discuss the electroneurography extensively.

Keywords: Acute facial paralysis; Electromyography; Electroneurography; Electrophysiological test

References

  1. Muscle Nerve. 1990 Sep;13(9):771-84 - PubMed
  2. Facial Plast Surg Clin North Am. 2011 Nov;19(4):639-46, viii - PubMed
  3. Otol Neurotol. 2010 Dec;31(9):1488-92 - PubMed
  4. Arch Facial Plast Surg. 2012 Jul-Aug;14(4):277-82 - PubMed
  5. Clin Neurophysiol. 2008 Sep;119(9):1951-65 - PubMed
  6. Acta Otolaryngol. 1983 May-Jun;95(5-6):532-8 - PubMed
  7. Arch Otolaryngol. 1981 Jan;107(1):1-11 - PubMed
  8. Am J Otol. 1984 Oct;5(6):494-8 - PubMed
  9. Brain. 1951 Dec;74(4):491-516 - PubMed
  10. Schriftenr Neurol. 1977;18:1-164 - PubMed
  11. Arch Otolaryngol. 1980 Jun;106(6):352-7 - PubMed
  12. Am J Otol. 1983 Jul;5(1):1-7 - PubMed
  13. Otolaryngol Head Neck Surg. 1992 Sep;107(3):377-81 - PubMed
  14. Otolaryngol Head Neck Surg. 1983 Jun;91(3):290-3 - PubMed
  15. Ann Otol Rhinol Laryngol. 1984 Jul-Aug;93(4 Pt 1):394-8 - PubMed
  16. Ann Otol Rhinol Laryngol. 1963 Sep;72:621-36 - PubMed
  17. Clin Otolaryngol Allied Sci. 1994 Jun;19(3):201-3 - PubMed
  18. Laryngoscope. 1973 Aug;83(8):1311-29 - PubMed
  19. Acta Neuropathol. 1971;17(3):220-6 - PubMed
  20. Laryngoscope. 1988 Aug;98(8 Pt 1):891-3 - PubMed
  21. Laryngoscope. 1992 Jul;102(7):747-59 - PubMed
  22. Acta Otolaryngol. 1981 Sep-Oct;92(3-4):221-37 - PubMed
  23. Laryngoscope. 2002 Jul;112(7 Pt 1):1129-47 - PubMed
  24. J Comp Neurol. 1950 Dec;93(3):411-20 - PubMed

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