Congenital unilateral facial paralysis.
Congenital unilateral facial paralysis.
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先天性单侧面瘫。
DOI：
10.1097/00006254-199609000-00010
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发表时间：
1996
期刊：
影响因子：
8
通讯作者：
M. Cheney
中科院分区：
文献类型：
--
作者：
N. Shapiro;M. Cunningham;S. Parikh;R. Eavey;M. Cheney
新生儿单侧面瘫的初步最佳评估应在出生后尽快进行，由多学科团队进行，目的是区分创伤性或发育性病因。电生理学研究，特别是ENOG测试，对于这种区分是必不可少的；放射学和听力学研究具有潜在的诊断价值。在确定患有发育性单侧面瘫的儿童中，随后的临床检查辅以电生理测试有助于预后。不幸的是，在大多数发育病因病例中，自发改善的可能性可以忽略不计。在这些儿童中，需要考虑在现有文献中有限的信息下进行复苏手术，以确定此类手术干预的最佳年龄。
The initial optimal assessment of the neonate born with unilateral facial paralysis should be performed as soon after birth as possible by a multidisciplinary team with the goal being to distinguish between a traumatic or developmental etiology. Electrophysiologic studies, particularly ENOG testing, are essential for this differentiation; radiologic and audiologic studies are of potential diagnostic benefit. In children determined to have a unilateral facial paralysis of developmental origin, subsequent clinical exams complemented by electrophysiologic testing facilitate prognosis. Unfortunately, in the majority of developmental etiology cases, the likelihood of spontaneous improvement is negligible. In these children, reanimation procedures will need to be considered with limited information in the current literature to dictate the optimal age of such surgical intervention.