腮腺良性瘤術後顏面神經麻痹的中醫治療：病例報告

Use of Traditional Chinese Medicine to Treat Facial Nerve Paralysis after Parotidectomy: A Case Report

蕭坤元(Kun-Yuan Hsiao) ； 張展旗(Chan-Chi Chang) ； 陳俞沛(Yu-Pei Chen)

《醫學與健康期刊》 9卷3期 (2020/11) Pp. 119-125

摘要

一位33歲女性病患接受腮腺切除術後出現面癱（House-Brackman IV級），術後78天到臺南醫院中醫科就診。後續接受針灸以及科學中藥調理，經過近2個月治療後，右眉毛感覺仍略顯僵硬，但功能和外觀與正常情況無異。腮腺切除術經常會導致面神經損傷或癱瘓。很少有術後顏面神經麻痺的患者接受中醫治療。此個案報告接受中醫治療（包括中藥和針灸）後恢復良好，可供未來類似病患治療之參考。

關鍵字

腮腺腫瘤 ； 腮腺切除術 ； 針灸 ； 中藥 ； 顏面神經麻痺

並列摘要

A 33-year-old female patient was left with facial paralysis after receiving a parotidectomy (House-Brackman Grade IV). Seventy-eight days following her surgery, she visited Tainan Hospital Chinese Medicine Department for treatment of her paralysis. There, she received acupuncture and scientifically processed Chinese medicine in powder form. After nearly two months of treatment, her right eyebrows still felt somewhat stiff, but its function and appearance were found to be normal. Parotidectomy often causes facial nerve damage or paralysis. Few patients with postoperative facial nerve palsy receive Chinese medicine treatment. This patient recovered well after receiving Chinese medicine treatment (Chinese medicine and acupuncture). This report might serve as a useful reference the treatment of similar patients in the future.

並列關鍵字

Parotid gland tumor ； Parotidectomy ； Acupuncture ； Traditional chinese medicine ； Facial nerve paralysis

參考文獻

Standring S: Gray’s Anatomy E-Book: The Anatomical Basis of Clinical Practice, Amsterdam: Elsevier Health Sciences, 2010.

馬欣婕、郭冠良：顏面神經麻痺。家庭醫學與基層醫療 2016；31：384-7。Ma HC, Kuo KL: Facial paralysis. Fam Med Prim Med Care 2016;31:384-7. [In Chinese]

Knopf A, Szyper M, Mansour N, Sonnenberg J, Hofauer B, Niedermeyer H: A critical review of 20 years of parotid gland surgery. Acta Otolaryngol 2016;136:711-6.

王文弘、趙文元：腮腺腫瘤手術前後顏面神經麻痺之研究。耳鼻喉科醫學雜誌 2002；37：347-55。Wang WH, Chao WY: Analysis of Perioperative Facial Palsy for Patients with Parotid Tumor. J Taiwan Otolaryngol Neck Surg 2002;37:347-55. [In Chinese: English abstract]

王艷梅：辨證取穴治療腮腺混合瘤術後面癱1例。河北中醫 2013；35：1532-3。Wang YM: Acupuncture treatment based on symptoms for facial paralysis after parotid mixed tumor surgery: 1 case. Hebei J Tradit Chinese Med 2013;35:1532-3. [In Chinese]