The Cases of Peripheral Facial Paresis in Our Clinic

Abstract

In our clinic, many of the patients with peripheral facial paresis had no complaints of deafness or vertigo but had abnormal findings in a vestibular test. Thus, neuro-otological tests should be performed to differentiate between simple facial paresis and other cranial nerve complications.
Stapedial reflex often show some improvement before or simultaneously with the return of facial movement. Therefore, the stapedial reflex test and electroneuronography appear to be useful in evaluating the process or prognosis of peripheral facial paresis.
Treatment schedule for peripheral facial paresis is as follows: Patients with paresis diagnosed within 1-2 weeks after the onset are treated by infusion of V. B. complex, ATP and low molecular Dextran. When there is no improvement, steroid hormone injection is given intravenously.O₂ +CO₂, inhalation and ultrasonic treatment are also performed.
Patients diagnosed more than 3-4 weeks after the onset, receive the same treatment, and those showing no improvement undergo facial decompression.
The 3rd group who showed poor or no improvement a f ter one or more months despite of conservative treatment, might undergo some facial surgery such as decompression or nerve grafting.
Finally, effect of Ca-blocker in the animal experiment with facial paresis related to the treatment for clinical facial paresis have added.