소아 안면신경마비의 임상적 분석
Clinical Analysis of Facial Palsy in Children
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Abstract
Background and Objectives：Facial palsy in children is uncommon, but not rare. Most patients with facial palsy are idiopathic, as in Bels palsy. Nevertheles, other more serious causes should be carefully excluded before Bels palsy is diagnosed. We tried to characterize the causes, treatment methods, and the recovery rate of facial palsy in children. Subjcets and Method：Between patients ages ranged from 0 to 15. Results：The highest age groups were children in their school period. The causes of facial palsy in children were in the order of following frequences：Bells palsy (66.2%), infection (14.6%), trauma (13.4%), birth trauma (3.2%), leukemia (1.3%), facial burn (0.6%), iatrogenic (0.6%). Treatment methods according to causes were steroid, Bells palsy, 100% in birth trauma, 100% in acute otitis media, 83.3% in herpes zoster oticus, 33.3% in temporal bone fracture, and 50% in cerebral contusion. Conclusion：Facial palsy in children results from variable causes in the order of Bells palsy (66.2%), infection (14.6%), trauma (13.4%), birth trauma (3.2%), leukemia (1.3%), facial burn (0.6%), and iatrogenic (0.6%). There were variable treatment methods upuncture. Facial palsy caused by birth trauma and acute otitis media had satisfactory recovery rates in all cases, whereas Bels palsy patients showed 93.1% satisfactory recovery and trauma patients 33.3%. (Korean J Otolaryngol 207 ;50 :102-7)
참고문헌 (20)
- "Pediatric facial nerve paralysis: Patients, management and outcomes", 69(11), pp.1521~1528 (2005)
- "Facial paralysis in children", different diag(sis), pp.841~8
- "Clinical factors that influence the prognosis of facial nerve paralysis and the magnitudes of influence", 115(5), pp.855~860 (2005)
- "Bells Palsy in children", pp.261~7
- "Epidemiology and clinical manifestations of Lyme borreliosis in childhood", 386 suppl, pp.1~76 (1993)
- "Bells Palsy in Children", 10(4), pp.289~297 (2003)
- "A clinical study of facial nerve paralysis", 41(4), pp.430~435 (1998)
- "Should children with Bells palsy be tre-ated with corticosteroid? A systemic review", 16(8), pp.565~568 (2001)
- "Infl-uence of early high-dose steroid treatment on Bells palsy Annuals of Neurology 1986", pp.622~7 (1968), Provinciali L
- "Efficacy of early treatment of Bells palsy with oral acyclovir and prednisolone", 24(6), pp.948~951 (2003)
- "Efficasy of acupuncture and moxibustion in treating Bels palsy: A multicenter randomized controled trial in China", 117(10), pp.1502~1506 (2004)
- Jalaludin MA, "Methylcobalamin treatment of Bells palsy", 17(8), pp.539~4 (1995)
- Makishima K, "Hyperbaric oxygenation as a treatment for facial palsy", 54, pp.110~118 (1998)
- Uri N, "Acyclovir in the treatment of Ramsay Hunt syndrome", 129(4), pp.379~381 (2003)
- Bergman I, "Management of facial palsy caused by birth trauma", pp.381~4
- Boris M, "Acupuncture treatment in facial palsy-Clinical observations", 43, pp.275~279 (2002)
- Kim HN, "Basic and clinical management", pp.129~175 (1995), Seoul: Iljimunwha printing Co
- Danielidis V, "comparative study of age and degree of facial nerve recovery in patients with Bell’s palsy", 356(10), pp.520~522 (1999)
- Dhiravibulya K, "Outcome of Bell’s palsy in children", 85(3), pp.334~339 (2002)
- Chen WX, "Prognosis of Bell’s palsy in children-analysis of 29 cases", 27(7), pp.504~508 (2005)