Decompression for Bell's palsy: why I don't do it

被引:23
|
作者
Adour, KK
机构
[1] Sir Charles Bell Soc, San Francisco, CA 94133 USA
[2] Kaiser Permanente Med Ctr, Dept Head & Neck Surg, Cranial Nerve Res Clin, Oakland, CA 94133 USA
关键词
Bell's palsy; decompression; surgical; facial paralysis; herpes viiidae infections;
D O I
10.1007/PL00007528
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
All decompression surgery is based on the lack of understanding that Bell's palsy is a viral demyelinating disease that is longitudinal - not perpendicular - to the facial canal and that surgery cannot possibly help a viral disease. These findings exclude the etiologic possibility of an "ischemic paralysis" and are in accord with our logically derived belief that treatment directed to relieve neural entrapment is a wasted effort.
引用
收藏
页码:40 / 47
页数:8
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