[Clinico-enzymologic correlations in trophic disorders of the buccal mucosa in patients with peripheral lesions of the facial nerve].

: The paper deals with trophic disorders of the buccal mucosa in 30 patients with Bell's paralysis. The character of the found changes was judged by the results of an examination of the mucosa and chemical and histochemical studies of the bioptate, obtained by aspirational biopsy. The examinations demonstrated trophical disorders in the buccal mucosa which was testified to by a slight edema and enzymatic-metabolic disorders in the form of an increased activity of the acid and alkaline phosphotase as well as asparagine and alanine aminotranspherase. These changes to a certain extent confirm the existence of vegetative filaments in the facial nerve, an affection of which leads to metabolic-trophical changes. Such data should be taken into consideration in an attempt to explain the mechanisms of distrophical processes and may be utilized as some indices in the judgment of the dynamics in the process of treatment.