J Korean Acad Rehabil Med Search


Journal of the Korean Academy of Rehabilitation Medicine 1990;14(2):3.
Prognostic Evaluation of Facial Palsy
Han-young Jung, M.D., Hee-Kyu Kwon, M.D., , Chung-Hie Oh, M.D.
Department of Rehabilitation Medicine, Korea University Hospital
특발성 안면신경마비의 예후 판정에 대한 연구
정한영, 권희규, 오정희
고려대학교 의과대학 재활의학교실

Idiopathic facial palsy (Bell's palsy) is the most common mononeuropathy, but one from which 70∼80 percents of patient recover completely without treatment.

The prospective study of 84 facial nerve paralysis was carried out to observe the course of the disease and to correlate the physical findings, electrodiagnostic findings with the prognosis. The suspected lesion site was determined and comparision of compound muscle action potential amplitude, needle EMG, and blink reflex were performed as electrodiagnostic test. The result of 84 subjects was as follows.

1) The class Ⅴ was in 45 cases (52.4%) and the class Ⅳ, Ⅲ, Ⅱ, Ⅰwas in 15 cases (17.8%), 14 cases (16.7%), 2 cases (2.7%), 8 cases (9.5%), respectively.

2) According to the facial nerve pathway, the more distal the lesion, the better the prognosis.

3) There was higher recovery rate in the cases which reveal less than 90% of axonal degeneration.

4) The more the number of muscles which show motor unit action potentials in the lesion side, the higher the recovery rate.

5) There was higher recovery rate in the cases which preserve blink reflex in the lesion side.

Key Words: Idiopathic facial palsy, Physical findings, Electrodiagnostic findings, Prognosis


Browse all articles >

Terms of Use   |   Privacy Polity
Editorial Office
Department of Rehabilitation Medicine, Seoul National University Hospital
101 Daehak-ro, Jongno-gu, Seoul, Korea
Tel: +82-10-8678-2671    Fax: +82-2-6072-5244    E-mail: edit@e-arm.org; edit.karm@gmail.com
Business Registration: 110-82-07460                

Copyright © 2024 by Korean Academy of Rehabilitation Medicine.

Developed in M2PI

Close layer