Treatment of traumatic facial paralysis in a child with electroacupuncture and hyperbaric oxygen: A case report

Li, Wang; Hui, Shi

doi:10.1016/j.ctcp.2022.101595

Cited by 5 publications

(6 citation statements)

References 15 publications

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“…Western medicine mainly treats the disease with antiviral drugs such as acyclovir, nutritional nerve drugs such as mecobalamin, glucocorticoids such as prednisone, or intravenous injection of dehydrating agents such as mannitol to reduce nerve edema, intramuscular injection of fasudil to improve microcirculation, intramuscular injection of rat nerve growth factor to promote nerve growth and recovery, ginkgo biloba extract antioxidant and free radical scavenging treatment [5, 6]. Hyperbaric oxygen and rehabilitation therapy can be used as supplementary therapies [7, 8].…”

Section: Discussionmentioning

confidence: 99%

Acupuncture and Traditional Chinese Medicine in the Treatment of Peripheral Facial Palsy Caused by Wisdom Tooth Extraction: A Case Report

Li,

Tao,

Wei

et al. 2023

Complement Med Res

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Background: Peripheral facial palsy is characterized by acute peripheral facial nerve paralysis. While most cases have no identifiable cause, some are linked to infectious or non-infectious factors. The potential connection between herpes simplex virus-1 (HSV-1) and peripheral facial palsy has been studied since the 1970s, with a small number of cases reported following tooth extraction. Patients who have treatment delayed for over a year and still exhibit no signs of recovery have a bleak prognosis. In this case, factors contributing to facial paralysis in this patient are facial nerve injury as a result of wisdom teeth extraction, improper nursing, and delayed treatment. Case summary: A 23-year-old female presented with numbness and stiffness on the right side of the outer skin around the lips. These symptoms persisted for about 4 years after the extraction of the right lower wisdom tooth. Physical examination revealed House-Brackmann grade Ⅱ peripheral facial paralysis. Acupuncture and Traditional Chinese Medicine treatments were initiated with an aim to facilitate nerve repair and neurofacilitation in the affected area. Following a four-week course of treatment, the patient experienced a decrease numbness and stiffness in the area, and treatment was discontinued. Conclusion: The combination of acupuncture and Traditional Chinese Medicine is a safe and promising supplementary therapy for peripheral facial palsy caused by wisdom tooth extraction. Nevertheless, it is imperative to conduct larger scale and randomized controlled studies to determine whether these complementary interventions have a significant additive or synergistic effect towards achieving complete recovery in the patients.

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Section: Discussionmentioning

confidence: 99%

Acupuncture and Traditional Chinese Medicine in the Treatment of Peripheral Facial Palsy Caused by Wisdom Tooth Extraction: A Case Report

Li,

Tao,

Wei

et al. 2023

Complement Med Res

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“…In contrast, for blunt injury and partial paralysis, internal medicine and physical therapy can be used for treatment. 8,9 The timing of nerve repair is divided into acute repair (within 72 hours after injury), subacute repair (after 72 hours to 6 months), and delayed repair (after 6 months of injury). 10 Within the first 72 hours, the distal end of the motor fibers can still be stimulated, which helps to detect and repair the nerve accurately.…”

Section: Time Of Surgerymentioning

confidence: 99%

Rehabilitation Surgery for Peripheral Facial Nerve Injury after Facial Trauma

Lam,

Tran,

Tran

et al. 2024

Int Arch Otorhinolaryngol

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Introduction Facial trauma can cause damage to the facial nerve, which can have negative effects on function, aesthetics, and quality of life if left untreated. Objective To evaluate the effectiveness of peripheral facial nerve direct end-to-end anastomosis and/or nerve grafting surgery for patients with facial nerve injury after facial trauma. Methods Fifty-nine patients with peripheral facial nerve paralysis after facial injuries underwent facial nerve rehabilitation surgery from November 2017 to December 2021 at Ho Chi Minh City National Hospital of Odontology. Results All 59 cases of facial trauma with damage to the peripheral facial nerve underwent facial nerve reconstruction surgery within 8 weeks of the injury. Of these cases, 25/59 (42.3%) had end-to-end anastomosis, 22/59 (37.3%) had nerve grafting, and 12/59 (20.4%) had a combination of nerve grafting and end-to-end anastomosis. After surgery, the rates of moderate and good recovery were 78.4% and 11.8%, respectively. All facial paralysis measurements showed statistically significant improvement after surgery, including the Facial Nerve Grading Scale 2.0 (FNGS 2.0) score, the Facial Clinimetric Evaluation (FaCE) scale, and electroneurography. The rate of synkinesis after surgery was 34%. Patient follow-up postoperatively ranged from 6 to > 36 months; 51 out of 59 patients (86.4%) were followed-up for at least 12 months or longer. Conclusion Nerve rehabilitation surgery including direct end-to-end anastomosis and nerve grafting is effective in cases of peripheral facial nerve injury following facial trauma. The surgery helps restore nerve conduction and improve facial paralysis.

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“…Menurut Wang et al, 24 glukokortikoid memang memiliki efek antiinflamasi yang bermakna dan mengurangi edema, yang dapat memperbaiki keadaan edema saraf fasialis dan meringankan penyakit, namun, glukokortikoid sendiri tidak secara langsung memperbaiki saraf. Dalam hal ini, penggunaan awal tidak membawa pengaruh yang sangat bermakna, dan perlu juga diperhatikan efek samping dari penggunaan jangka panjang kortikosteroid.…”

Section: Bahasanunclassified

“…Terapi kombinasi ini dapat menghindari efek samping glukokortikoid, terutama sesuai untuk anak. 24 Pada studi oleh Prasetyo et al, 6 dilaporkan dua pasien yang mengalami kelumpuhan saraf fasialis total pada sisi kanan dengan durasi 6 bulan, dan dioperasi dengan menggunakan teknik split hypoglossal facial anastomosis. Hasil pra-operasi pasien dengan fraktur longitudinal penyembuhannya lebih baik (HB3) dibandingkan pada pasien dengan fraktur campuran (HB4), tetapi pada hasil akhir keduanya diperoleh pemulihan reanimasi wajah yang baik dengan skala HB-1 dan tidak ada yang mengalami hemiatrofi atau disfungsi lidah.…”

Section: Bahasanunclassified

Patomekanisme dan Insidensi Cedera Saraf Fasialis Perifer akibat Fraktur Dasar Kepala Tengah

Putri¹,

Prasetyo²,

Wagiu³

2023

MSJ

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Skull base fracture (SBF) was defined as a fracture implicating the base of the skull, and was divided into three types, namely: anterior, media, and posterior cranial base fractures. SBF could cause serious complications, and occurs mostly in the middle and anterior sections. This study aimed to determine the pathomechanism and incidence of facial nerve injury in patients with fractures of the middle skull base. This was a literature review study. The results obtained 14 journals that fulfilled the criteria. The incidence of mid-section SBF causing facial nerve injuries was 3.25% to 8%. Age was related to the mechanism of SBF. In adults and elderly, most SBF were caused by accidents. Facial nerve paralysis due to transverse fracture was more serious and often required surgical treatment. The most frequent onset of facial nerve paralysis was immediate paralysis. Longitudinal fracture had better recovery compared to transverse or mixed fractures. In conclusion, the incidence of mid-section SBF causing facial nerve injuries was 3.25% to 8%. SBF involving facial nerve injury was more prevalent in longitudinal fractures with labyrinth bone involvement in the inner ear; however, it has better recovery than transverse or mixed fractures. Keywords: skull base fracture; temporal bone fracture; facial nerve paralysis Abstrak: Patah tulang dasar kepala (PTDK) didefinisikan sebagai fraktur yang melibatkan dasar tengkorak. Terdapat tiga jenis PTDK, yaitu: fraktur basis kranii anterior, media, dan posterior. PTDK dapat menyebabkan komplikasi serius dan paling banyak terjadi pada fraktur bagian tengah dan anterior. Penelitian ini bertujuan untuk mengetahui patomekanisme dan insiden cedera saraf fasialis (saraf kranial ketujuh) perifer pada penderita PTDK bagian tengah. Jenis penelitian ialah suatu literatur review. Hasil penelitian mendapatkan 14 jurnal yang sesuai dengan topik. Insiden PTDK bagian tengah yang menyebabkan cedera saraf fasialis sebesar 3,25%-8%. Usia berkaitan dengan mekanisme utama penyebab terjadinya PTDK, yaitu pada kalangan dewasa dan lansia sebagian besar disebabkan oleh kecelakaan. Kelumpuhan saraf fasialis pada fraktur transversal lebih serius dan sering membutuhkan perawatan bedah. Onset kelumpuhan saraf fasialis yang paling sering ialah kelumpuhan segera. Fraktur longitudinal memiliki pemulihan yang lebih baik dibandingkan dengan fraktur transversal atau campuran. Simpulan penelitian ini ialah insidensi PTDK bagian tengah yang menyebabkan cedera saraf fasialis sebesar 3,25%-8%. PTDK bagian tengah yang melibatkan cedera saraf fasialis paling banyak terjadi pada fraktur longitudinal dengan keterlibatan tulang labirin pada telinga bagian dalam namun dengan pemulihan yang lebih baik dibandingkan fraktur transversal atau campuran. Kata kunci: patah tulang dasar kepala; fraktur tulang temporal; kelumpuhan saraf fasialis perifer

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Treatment of traumatic facial paralysis in a child with electroacupuncture and hyperbaric oxygen: A case report

Cited by 5 publications

References 15 publications

Acupuncture and Traditional Chinese Medicine in the Treatment of Peripheral Facial Palsy Caused by Wisdom Tooth Extraction: A Case Report

Acupuncture and Traditional Chinese Medicine in the Treatment of Peripheral Facial Palsy Caused by Wisdom Tooth Extraction: A Case Report

Rehabilitation Surgery for Peripheral Facial Nerve Injury after Facial Trauma

Patomekanisme dan Insidensi Cedera Saraf Fasialis Perifer akibat Fraktur Dasar Kepala Tengah

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