徳島大学における末梢性顔面神経麻痺の統計的観察:ベル麻痺,ハント症候群の治療成績

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A statistical analysis was performed on 219 patients with peripheral facial palsy treated in the Department of Otolaryngology of Tokushima University Hospital between July 1989and June 1992. The incidence of Bell's palsy was 71.7% and that of Hunt's syndrome was 13.2%. Neither Bell's palsy nor Hunt's syndrome showed no significant difference in distribution between the sexes, laterality, seasonal alteration, and age at onset.<BR>Both Bell's palsy and Hunt's syndrome were classified into three group s by the severity of paralysis, and the dosage of steroid was increased accordingly. In our high-dose steroid therapy, methylprednisolone, prostaglandin El and mecobalamin were used in combination.<BR>The cure rate of this therapy for severe cases of Bell's palsy was 94%. There were few side effects, and the method of administration was simple, so the therapy was considered very effective for Bell's palsy.<BR>However, in the tre a tment of Hunt's syndrome, the cure rate did not increase beyond 75% even when this therapy was combined with aciclovir.
耳鼻咽喉科臨床学会の論文