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Inicio Acta Otorrinolaringológica Española Valoración de la electroneurografía como método pronóstico en la evolución ...
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Vol. 54. Issue 10.
Pages 673-677 (December 2003)
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Vol. 54. Issue 10.
Pages 673-677 (December 2003)
Valoración de la electroneurografía como método pronóstico en la evolución de la parálisis facial periférica
Electroneurography as a prognostic method in the evolution of facial nerve paralysis
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M.E. Campos
Corresponding author
emcampos@ull.es

Correspondencia: Facultad de Medicina. La Laguna. Ofra.Tenerife.
, D. López Campos, B. Pérez Piñero, D. López Aguado
Hospital universitario de canarias. Facultad de medicina. Universidad de la laguna. Tenerife
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Resumen

La electroneurografía (EnoG) es una herramienta utilizada como método de valoración pronóstica en la parálisis facial periférica. Creemos que cuando se realiza en condiciones estandarizadas y se asocia al enjuiciamiento clínico evolutivo del paciente es adecuada para indicarnos el momento crítico en el que se debe plantear utilizar una modalidad de tratamiento más radical. Nuestro estudio se realiza en 44 pacientes de los que 13 presentaban denervación fibrilar superior al 90%. Una mala recuperación clínica nos lleva a realizar descompresión quirúrgica del nervio facial en 5 pacientes con restitución a la normalidad en tres de ellos.

Palabras clave:
Electroneurografía
Parálisis facial
Pronóstico
Descompresión facial
Abstract

Electroneurography (EnoG) is a prognostic test used in the assessment of the perrpheral facial nerve paralysis. We believe that when performed in standard conditions and together with the clinical evolutive paramethers, it is very useful to reveal the critical time for a more radical treatment. We studied 44 patients; 13 patients had greater than 90% neural degeneration on EnoG. 5 of them underwent facial nerve surgical decompression due to a poor clinical outcome and up to three of these patients had a normal facial function after this.

Key words:
Electroneurography
Facial nerve paralysis
Prognosis
Surgical facial decompression

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