顔面神経麻痺の治療について

抄録

According to the author's clinical experience, 8 of 12 cases of idiopathic peripheral facial palsy given antimony dervatives recovered within several weeks to several months.Almost all of the 11 cases of facial palsy occurring after ear operations also recovered following conservative treatment within several months to 1 or 2 years.Consequently a considerable number of cases of facial palsy can be cured with conservative treatment.
However, recent publications on facial palsy suggest that decompression of the Fallopian canal, nerve grafting or suturing are more useful in gaining exact and rapid cure.Of course, these surgical methods require gentle and careful manipulations.
When there is no improvement after performing these operations, plastic facial surgery seems to be more preferable than nerve anastomosis between facial and hypoglossal or accessory nerves.For facial plastic surgery to correct facial palsy the author recommends the following procedures: first, muscular neurotisation of the facial muscles employing a muscular stalk taken from the masseter muscle;and second, lefting of the mouth angle, using catgut under the skin fixed to the fascia of the temporal muscle.