Facial nerve conduction study

The muscle action potential evoked by the facial nerve stimulation was investigated in 31 normal subjects and in patients with facial palsy. The normal finding of this nerve conduction study was described in detail, and the results of the qualitative and quantitative analysis of the nerve conduction patterns obtained from the patients were presented. The following conclusions were derived from the present study. The duration, size, threshold, latency, and relationship between the response and the stimulus intensity were the important factors involved in the diagnosis of the denervation in the facial nerve. On the basis of the analysis of these factors, the grade of denervation could be differentiated into no denervation, slight denervation, moderate denervation, and severe denervation.

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Nerve conduction study in facial palsy

Nerve conduction study in facial palsy | SpringerLink

Facial nerve electrodiagnostics is a well-established and important tool for decision making in patients with facial nerve diseases. Nevertheless, many otorhinolaryngologist—head and neck surgeons do not routinely use facial nerve electrodiagnostics. This may be due to a current lack of agreement on methodology, interpretation, validity, and clinical application. Electrophysiological analyses of the facial nerve and the mimic muscles can assist in diagnosis, assess the lesion severity, and aid in decision making. With acute facial palsy, it is a valuable tool for predicting recovery. This paper presents a guideline prepared by members of the International Head and Neck Scientific Group and of the Multidisciplinary Salivary Gland Society for use in cases of peripheral facial nerve disorders based on a systematic literature search.

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Facial nerve electrodiagnostics for patients with facial palsy: a clinical practice guideline

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