顏面神經麻痺之臨床表現－10年案例之分析

Clinical Manifestations of Facial Nerve Paralysis － Analysis of 10-Year Cases

徐莉萍(Lee-Ping Hsu) ； 張燕良(Yen-Liang Chang) ； 柯政郁(Jeng-Yuh Ko) ； 徐茂銘(Mow-Ming Hsu)

《中華民國耳鼻喉科醫學會雜誌》 30卷4期 (1995/08) Pp. 325-331

https://doi.org/10.6286/1995.30.4.325

摘要

整理10年來因顏面神經麻痺至特別門診就醫的314名患者，計Bell氏麻痺170名，耳性帶狀疱疹90名，外傷性39名，其他14名。依不同病因給予治療，且至少追蹤3個月，顏面神經回復率平均為80%。依病人的臨床症狀，包括疼痛、味覺異常、眼澀、臉麻、聽覺過敏、眩暈、聽障，及實驗室檢查，包括顏面神經電圖、神經興奮測驗、純音聽力檢查、聲反射檢查、敲打試驗、血清抗體力價等與預後作分析，皆無統計學上的相關。而在統計上有明顯差異、具臨床意義的預後因子，則為病人的年紀、有否延遲治療、及是否使用類固醇。

關鍵字

顏面神經麻痺，Bell氏麻痺，耳性帶狀疱疹

並列摘要

The study comprised 314 patients who attended the maxillofacial special clinic of the outpatient department of otolaryngology with the chief problem of facial nerve paralysis during the past 10 years. Among them, 170 cases had Bell’s palsy, 90 cases herpes zoster oticus, 39 cases traumatic facial nerve paralysis, and 14 cases were of various miscellaneous etiologies. All patients were followed for at least 3 months, and the average recovery rate was 80%. Factors including clinical symptoms such as pain, dysgeusia, dry eyes, facial numbness, dysacusis, vertigo, hearing loss, or electrodiagnostic tests such as electroneuronograpy, nerve excitability test, audiometry, acoustic reflex test, tap test, and antibody titers were analysed. The results showed no statistical correlation to the final outcome. The fate of the nerve recovery was determined to a large extent by the age of the patients, and early treatment with oral steroids.

並列關鍵字

Facial nerve paralysis, Bell's palsy, herpes zoster oticus