復發性顏面神經麻痺－10年經驗報告

Recurrent Facial Nerve Paralysis - A 10-year Survey

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

《中華民國耳鼻喉科醫學會雜誌》 31卷1期 (1996/02) Pp. 72-76

https://doi.org/10.6286/1996.31.1.72

摘要

整理10年來因顏面神經麻痺至特別門診就醫的患者，經回溯性的病史詢問及前瞻性的追蹤，計21名（12%）Bell氏麻痺病人有復發的現象，其中6名發作多於兩次以上。將復發組的病人與沒有復發組相比較，得前者發作年齡較輕，且好發於10至39歲之年齡層，但沒有性別或側別之差異，而易於兩年內或20年後再發，雖恢復情形會因發作次數增加而較差，但平均恢復率仍達76%。

關鍵字

顏面神經麻痺 ； Bell氏麻痺 ； Melkersson-Rosenthal症候群

並列摘要

In a retrospective and prospective study of patients who attended the maxillofacial special clinic of the outpatient department of otolaryngology during a 10-year period, 21(12%) of 170 patients with Bell’s palsy suffered a recurrence. Of these patients, six had more than one recurrence.
As comparison to the nonrecurrence cases, the mean age at the first onset of the recurrence group was younger, and more frequent occurrence was between the ages of 10 and 39 years. In our results, there was no sexual predominance, and the unilateral recurrent and bilateral alternating palsies demonstrated and equal incidence. The majority of patients developed their further attacks within 2 years or 20 years later after the previous one. Although the recovery after multiple palsies appeared to be worse than after a single palsy, the overall recovery rate was 76%.

並列關鍵字

facial nerve paralysis ； Bell's palsy ； Melkersson-Rosenthal syndrome