{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T22:00:50Z","timestamp":1785794450009,"version":"3.56.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[1981,11,1]],"date-time":"1981-11-01T00:00:00Z","timestamp":373420800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[1981,11]]},"abstract":"<jats:p>In light of current research the classic theory on the vicious circle of Bell's palsy has to be reconsidered. New findings through electron microscopy and biochemistry concerning the structure and metabolism of cells have presented aspects which have consequences for treatment of the disease. These aspects deal mainly with the pathomechanisms of cell metabolism whose interactions also cause a vicious circle, leading to a breakdown of microcirculation and ultimately to the death of the cells due to hypoxia and acidosis. It is therefore suggested that the aim of an effective therapy must be the early normalization of cell metabolism by improving microcirculation. A fitting treatment protocol is presented and the extraordinarily good results are discussed.<\/jats:p>","DOI":"10.1177\/000348948109000613","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:35:41Z","timestamp":1412346941000},"page":"577-581","source":"Crossref","is-referenced-by-count":16,"title":["Pathomechanisms in Cell Metabolism: A Key to Treatment of Bell's Palsy"],"prefix":"10.1177","volume":"90","author":[{"given":"Eberhard","family":"Stennert","sequence":"first","affiliation":[{"name":"G\u00f6ttingen, Federal Republic of Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1981,11,1]]},"reference":[{"key":"bibr1-000348948109000613","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1947.00690020439001"},{"key":"bibr2-000348948109000613","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-194903000-00003"},{"key":"bibr3-000348948109000613","first-page":"355","volume":"1","author":"Kettel K","year":"1949","journal-title":"Proceedings of the Fourth International Congress of Otolaryngology"},{"key":"bibr4-000348948109000613","unstructured":"Abraham-Inpijn L, Devriese PP. Hypertension and diabetes mellitus in Bell's palsy. Paper presented at the IV International Symposium of Facial Nerve Surgery, Los Angeles, Sept 2\u20135, 1980."},{"key":"bibr5-000348948109000613","doi-asserted-by":"publisher","DOI":"10.1002\/lary.1978.88.5.787"},{"key":"bibr6-000348948109000613","unstructured":"Devriese PP. On etiology and pathogenesis of Bell's palsy. Paper presented at the IV International Symposium of Facial Nerve Surgery, Los Angeles, Sept 2\u20135, 1980."},{"key":"bibr7-000348948109000613","first-page":"319","volume-title":"Facial nerve surgery","author":"Gomez JG","year":"1977"},{"key":"bibr8-000348948109000613","doi-asserted-by":"publisher","DOI":"10.1177\/000348947508400402"},{"key":"bibr9-000348948109000613","first-page":"915","volume":"22","author":"Lundgren A","year":"1977","journal-title":"Adv Otorhinolaryngol"},{"key":"bibr10-000348948109000613","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197209000-00002"},{"key":"bibr11-000348948109000613","first-page":"420","volume":"73","author":"Blatt I","year":"1969","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"key":"bibr12-000348948109000613","first-page":"397","volume-title":"Facial nerve surgery","author":"Djupesland G","year":"1977"},{"key":"bibr13-000348948109000613","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(72)91499-7"},{"key":"bibr14-000348948109000613","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100071632"},{"key":"bibr15-000348948109000613","first-page":"70","volume":"82","author":"Proctor G","year":"1976","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"key":"bibr16-000348948109000613","first-page":"356","volume-title":"Facial nerve surgery","author":"Tomita H","year":"1977"},{"key":"bibr17-000348948109000613","first-page":"1284","volume":"75","author":"Adour KK","year":"1971","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"key":"bibr18-000348948109000613","first-page":"80","volume":"17","author":"Botman JWM","year":"1955","journal-title":"Pract Otorhinolaryngol (Basel)"},{"key":"bibr19-000348948109000613","volume-title":"Proefschrift Univ","author":"Janssen FP","year":"1963"},{"key":"bibr20-000348948109000613","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197003000-00001"},{"key":"bibr21-000348948109000613","unstructured":"Stennert E, Limberg CH, Frentrup KP. New aspects in facial nerve surgery; paralysis and secondary defect score. In: Baker DC, ed. Clin Plast Surg 1979; 458\u201365."},{"key":"bibr22-000348948109000613","unstructured":"Ambrus HL, ed. Pentoxifylline, pharmacological and clinical research. Symposium on Pentoxifylline, Athens, March 22, 1978. J Med 1979; 10."},{"key":"bibr23-000348948109000613","unstructured":"M\u00fcller R. Pentoxifylline \u2014 A biomedical profile. In: Ambrus JL, ed. Pentoxifylline, pharmacological and clinical research. Symposium on Pentoxifylline, Athens, March 22, 1978. J Med 1979; 10."},{"key":"bibr24-000348948109000613","unstructured":"Stennert E. New concepts in treatment of Bell's palsy. Paper presented at the IV International Symposium of Facial Nerve Surgery, Los Angeles, Sept 2\u20135, 1980."},{"key":"bibr25-000348948109000613","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/66.4.237"},{"key":"bibr26-000348948109000613","doi-asserted-by":"publisher","DOI":"10.1007\/BF00212065"},{"key":"bibr27-000348948109000613","first-page":"5","volume":"1","author":"Hiller F","year":"1951","journal-title":"J Neuropath Clin Neurol"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348948109000613","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348948109000613","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:29:46Z","timestamp":1777375786000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/000348948109000613"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1981,11]]},"references-count":27,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1981,11]]}},"alternative-id":["10.1177\/000348948109000613"],"URL":"https:\/\/doi.org\/10.1177\/000348948109000613","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[1981,11]]}}}