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September 1973

Acute Peripheral Facial Palsy: Indications for Surgical Treatment

Author Affiliations

Bergen, Norway
From the Department of Otolaryngology, University of Bergen, and Haukeland Hospital, Bergen, Norway. Dr. Stien is now with the Department of Neurology, Oslo University Hospital, Oslo, Norway.

Arch Otolaryngol. 1973;98(3):187-190. doi:10.1001/archotol.1973.00780020195011

An investigation of 46 patients with acute peripheral facial palsy was conducted. Patients were examined for the first time immediately after onset of palsy and followed for from one to two years. Indications for decompression operation for acute facial palsy are formulated in outline.

Result of the investigation underlines significance of otological and neurological examination of patients at an early stage. Further, results of individual examinations indicate that lesion of nerve is often sited at a level in or central to the geniculate ganglion. Strict indications for decompression operation seem to lead to very few operations.