The midline electroneurography method for facial palsy reflects total nerve degeneration.

Abstract:

CONCLUSION:The midline electroneurography (ENoG) method might reflect total facial nerve degeneration. OBJECTIVE:We compared ENoG values in patients with facial palsy using two different methods, the midline method and five electroneurogram recordings, to reveal whether the ENoG value obtained with the midline method reflects total facial nerve degeneration. METHODS:Forty patients with facial palsy were enrolled. Compound muscle action potentials (CMAPs) were recorded using the midline method, in which the anode was placed on the mental protuberance and the cathode was placed on the philtrum. Additionally, five electroneurogram recordings were obtained by placing the anode on the skin of the parietal region and five cathodes on the skin over five facial muscles (frontalis, orbicularis oculi, nasalis, orbicularis oris, and depressor anguli oris muscles). ENoG values recorded using the two methods were compared. RESULTS:The ENoG values of the five facial muscles did not differ from those obtained using the midline method. The total ENoG value calculated by summing five CMAPs from five facial muscles, which is considered to reflect total facial nerve degeneration, was not significantly different from that using midline methods; moreover, a strong positive correlation coefficient (r = 0.87) was found between them.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Wada S,Haginomori S,Mori A,Ichihara T,Kanazawa A,Kawata R,Takubo T,Yorifuji S

doi

10.3109/00016489.2012.743680

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

327-33

issue

3

eissn

0001-6489

issn

1651-2251

journal_volume

133

pub_type

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