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[The study of facial neurapraxia]
1Department of Otolaryngology, First Affiliated Hospital, China Medical University, Shenyang 110001.
Objective:
To study the clinical characteristics and mechanism of facial neurapraxia.
Method:
Patients were tested with nerve excitability method and judged the degree of facial paralysis. Animal mode of neurapraxia was made and threshold of evoked electromyographic potential was tested. The fibers of facial nerve were observed under transmission electromicroscope.
Result:
Average restoration time of evoked electromyographic potential was 52.5 min. The lamellar separation of myelin sheath of facial nerve was found under electromicroscope. Patients with facial neurapraxia was judged as denervation negative and residual function of facial muscles was above 65%.
Conclusion:
Facial neurapraxia is mild reversible facial paralysis and relevant to the lamellar separation.