Boerner M, Seiff S
University of California, San Francisco, USA.
Curr Opin Ophthalmol. 1994 Oct;5(5):61-6.
Palsy of the facial nerve can result in severe debilitation. The physical disfigurement has a disastrous effect on self-image. Asymmetry of facial expression, drooling, and difficulty with speech may occur. Additionally, impaired closure of the eye can result in exposure of the cornea with not only discomfort, but also loss of vision. If the nerve injury is proximal, loss of salivation, lacrimation, and changes in taste can occur. Clearly, an understanding of facial palsy and a framework for management are needed by the clinician who encounters this condition. The recent literature is surveyed for various causes of seventh nerve palsy and for therapeutic modalities available to the physician.
面神经麻痹可导致严重的功能障碍。身体的毁容对自我形象有灾难性影响。可能会出现面部表情不对称、流口水和言语困难。此外,眼睛闭合受损会导致角膜暴露,不仅会引起不适,还会导致视力丧失。如果神经损伤靠近端,可能会出现唾液分泌、泪液分泌减少以及味觉改变。显然,遇到这种情况的临床医生需要对面神经麻痹有所了解并掌握一个管理框架。本文对近期文献中关于第七神经麻痹的各种病因以及医生可用的治疗方法进行了综述。