Vásquez Luz María, Medel Ramón
Instituto de Microcirugia Ocular, Barcelona, Spain.
Ophthalmic Res. 2014;52(4):165-9. doi: 10.1159/000365519. Epub 2014 Oct 18.
As the facial nerve carries sensory, motor and parasympathetic fibres involved in facial muscle innervation, facial palsy results in functional and cosmetic impairment. It can result from a wide variety of causes like infectious processes, trauma, neoplasms, autoimmune diseases, and most commonly Bell's palsy, but it can also be of iatrogenic origin. The main ophthalmic sequel is lagophthalmos. The increased surface exposure increases the risk of keratitis, corneal ulceration, and potentially loss of vision. Treatment options are wide; some are temporary, some permanent. In addition to gold standard and traditional therapies and procedures, new options are being proposed aiming to improve not only lagophthalmos but also the quality of life of these patients.
由于面神经携带参与面部肌肉神经支配的感觉、运动和副交感神经纤维，面瘫会导致功能和外观受损。它可能由多种原因引起，如感染性疾病、创伤、肿瘤、自身免疫性疾病，最常见的是贝尔氏面瘫，但也可能是医源性的。主要的眼部后遗症是眼睑闭合不全。眼部表面暴露增加会增加角膜炎、角膜溃疡以及潜在视力丧失的风险。治疗选择广泛；有些是临时性的，有些是永久性的。除了金标准和传统疗法及程序外，还提出了新的选择，旨在不仅改善眼睑闭合不全，还改善这些患者的生活质量。
