title: [Influence of steroid therapy local injection of steroidal in the region of the stylomastoid foramen and physiotherapy on the recovery of stapedial reflex in patients with facial nerve paralysis].
abstract: There are much more publications which informates about positive effects of advisability propose steroid's cure in patients with facial nerve palsy. The aim of the studies was to evaluate the influence of steroidal and physical treatment on the recovery of stapedial reflex and of functions of the damaged nerve. The studies were performed on 37 patients with palsy of facial nerve. Taking into account the stapedial reflex (before the beginning of the treatment) and local injection of steroidal in the region of the stylomastoid foramen, the patients were divided into two groups: I group--21 persons with lacking stapedial reflex, who were not given steroid, II group--16 persons with lacking stapedial reflex who received steroid. Evaluation of results of treatment was performed by means of the Pietruski, House and Brackmann scales, registration of stapedial reflex and accommodation coefficient. The results indicate that local steroid in palsy facial nerve is the treatment of choice in cases of intratemporal branches injury (lack of stapedial reflex) and shortens of duration of stapedial reflex and the nerve function recovery.
authors.affiliation: Klinika Rehabilitacji i Medycyny Fizykalnej z Oddziałem Dziennego Pobytu UM w Lodzi.
authors.forename: Jolanta
authors.initials: J
authors.lastname: Krukowska
authors.forename: Jan
authors.initials: J
authors.lastname: Czernicki
authors.forename: Piotr
authors.initials: P
authors.lastname: Zalewski
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D005154:Facial Nerve / Q000503:physiopathology*; D005158:Facial Paralysis / Q000188:drug therapy / Q000503:physiopathology* / Q000628:therapy*; D005260:Female; D006801:Humans; D007267:Injections; D008297:Male; D008416:Mastoid; D008775:Methylprednisolone / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000627:therapeutic use*; D000077555:Methylprednisolone Acetate; D008875:Middle Aged; D026741:Physical Therapy Modalities; D020127:Recovery of Function; D012018:Reflex / Q000502:physiology*; D012038:Regeneration / Q000502:physiology*; D012720:Severity of Illness Index; D013198:Stapedius / Q000502:physiology*
chemical_list: D000893:Anti-Inflammatory Agents; D000077555:Methylprednisolone Acetate; D008775:Methylprednisolone