顔面神経麻痺の治療成績 (三吉康郎教授開講20周年記念論文集)

概要

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A consecutive series of 96 patients with facial palsy in the Department of Otolaryngology, Mie University Hospital was studied clinically during the two years from 1978 to 1979. There were 60 cases of Bell's palsy, 14 cases of Hunt's syndrome, 15 cases of posttraumatic palsy and 7 cases of intracranial vascular lesions and of head and neck malignancies. For the treatment of patients with Bell's palsy and Hunt's syndrome, peroral steroid and massive doses of intravenous ATP were used fundamentally and the following results were obtained.1. Seventy per cent of the patients with Bell's palsy and 42.9% of those with Hunt's syndrome were cured completely.2. The younger the patients were and the shorter the duration from the onset of disease to the start of treatment was, the higher the rate of complete cure.3. Several bizarre phenomena resulting from misdirected reinnervation, such as crocodile tears, synkinesis or twitching in the mimic muscles, were observed in 76.9% of the patients with incomplete cure.
耳鼻咽喉科臨床学会の論文