耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
顔面神経麻痺の予後判定法としての催涙検査法
宇多村 善則上野 聖二
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1972 年 18 巻 1 号 p. 17-20

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Eight patients of facial palsy were treated by a stellate ganglion block and their lacrimal functions were measured utilizing Schirmer's test. The patient was ordered to sniff ammonia one hour before and after the ganglion block. Five patients recovered from the palsy. They were two cases of Bell's palsy and three cases of Hunt's syndrome. The recovered cases showed an increase in lacrimation of the affected side as the stellate ganglion block was repeated. This phenomenon was marked particulary one hour after the block. The other patients which were two cases of Bell's palsy and one case of Hunt's syndrome did not recover. These cases showed no change in the lacrimal function after the ganglion block. The provoked lacrimal function test appeared to be an accurate method determinating the prognosis of facial palsy in the earlier stage.
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