BELL'S palsy is one of the controversial problems in modern medicine, because the prognosis is unpredictable and its management has been debatable. At the New York Eye and Ear Infirmary we decided, in 1964, to start a control study on patients with Bell's palsy using as our guide clinical findings and electrical testing in order to forecast the prognosis of this disease. Carefully selected patients would then be offered facial decompression if deemed advisable. We would then compare the result of those that accepted the surgical treatment with those that refused surgical intervention and finally compare them with patients we felt would recover spontaneously only from medical management. Up to the present time, to the best of our knowledge, the literature has not supplied us with a good controlled follow-up study which includes the results in those cases who did not submit to a decompression procedure. To be able to
Giancarlo HR, Mattucci KF. Facial Palsy: Facial Nerve Decompression. Arch Otolaryngol. 1970;91(1):30–36. doi:10.1001/archotol.1970.00770040056008
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