De Ru J A, Brennan P A, Martens E
Department of Otolaryngology - Head and Neck Surgery,Central Military Hospital,Utrecht,the Netherlands.
Department of Oral and Maxillofacial Surgery,University of Portsmouth,UK.
J Laryngol Otol. 2015 Apr;129(4):300-6. doi: 10.1017/S0022215115000341.
The management of Bell's palsy has been the subject of much debate, with corticosteroids being the preferred medication. However, evidence also supports the use of antiviral drugs for severe cases and even decompression surgery in patients who, despite medical treatment, are not recovering.
A literature review was conducted on the management of Bell's palsy.
This paper describes the background, statistical evidence, study results and pathophysiological theories that support more aggressive treatment for patients with severe palsy and those who have inadequate recovery.
Combination therapy including antiviral medication significantly improves outcomes in patients with severe Bell's palsy. Decompression should be considered in patients who have not recovered with drug treatment.
贝尔面瘫的治疗一直是诸多争论的主题，皮质类固醇是首选药物。然而，有证据也支持在严重病例中使用抗病毒药物，甚至对于那些尽管接受了药物治疗但仍未康复的患者可进行减压手术。
对贝尔面瘫的治疗进行了文献综述。
本文描述了支持对重症面瘫患者和恢复不佳患者采取更积极治疗的背景、统计学证据、研究结果及病理生理理论。
包括抗病毒药物在内的联合治疗可显著改善重症贝尔面瘫患者的预后。对于药物治疗未康复的患者应考虑进行减压手术。
