顏面部創傷後之三叉神經感覺失能－病例報告

Trigeminal Nerve Hypoesthesia after Facial Trauma-A Case Report

蔣孟達(Meng-Ta Chiang) ； 林慈宜(Tzu-Yi Lin) ； 吳契璁(Chi-Tsung Wu) ； 顏哲宏(Che-Hung Yen) ； 鄭仁昌(Jen-Chan Cheng) ； 施嘉霖(Jia-Lin Shih) ； 李曉屏(Shiao-Pieng Lee) ； 陳元武(Yuan-Wu Chen)

《臺灣口腔顎面外科學會雜誌》 23卷2期 (2012/06) Pp. 95-104

https://doi.org/10.7104/TJOMS.201206.0095

摘要

中顏面區的創傷，其範園包括鼻骨、顴骨上顎骨複合體及上顎骨區域，且創傷後造成許多併發症，最常見為神經損傷，發生率約80%。而中顏面區感覺支配之神經以三又神經為主，此處創傷後造成的神經損傷最常見的為三又神經感覺失能。處理感覺失能，其癒後需藉由早期診斷與治療。本報告為中顏面創傷後三叉神經感覺失能之病例，提出其後續治療與症狀持續追蹤的過程供臨床醫師參考。

關鍵字

中顏面創傷 ； 神經感覺失能 ； 三叉神經

並列摘要

Trauma of mid-face region frequently involves nasal, zygomaticomaxillary complex and maxillary bones. It often results in many complications, and the most common one is nerve injury. The incidence is about 80%. However, the main sensory nerve that supporting mid-face region is trigeminal nerve, and the general complication followed by nerve injury of this area is hypoesthesia. It is relatively important to accept well clinical diagnosis and treatment of the trigeminal nerve hypoesthesia when it occurred after facial trauma. The purpose of this study was to share the experience of the treatment for trigeminal nerve hypoesthesia post mid-face trauma and keep following the symptoms after receiving treatments.

並列關鍵字

Mid-face trauma ； Hypoesthesia ； Trigeminal nerve