May M, Croxson G R, Klein S R
Facial Paralysis Center, Shadyside Hospital, Pittsburgh, PA.
Am J Otol. 1989 May;10(3):220-9.
Fifteen percent of patients who have had an acute episode of Bell's palsy will be left with debilitating facial dysfunction. This chapter describes our approach to managing a variety of hypo- and hyperkinetic disorders caused by injury and faulty regeneration of the facial nerve, using electromyographic rehabilitation (EMGR) (13 patients), Oculinum toxin injection (14 patients), or surgical reanimation (72 patients). Improvement was noted after EMGR in 12 of 13 patients (92%), all 14 patients treated with Oculinum experienced temporary improvement, and improvement was noted in 66 of 72 patients who underwent surgery (92%). The indications, techniques, and results of these three rehabilitative methods are discussed.
15%经历过贝尔氏面瘫急性发作的患者会遗留严重的面部功能障碍。本章描述了我们使用肌电图康复法（EMGR）（13例患者）、眼肌毒素注射（14例患者）或手术修复（72例患者）来处理因面神经损伤和再生不良导致的各种运动功能减退和亢进障碍的方法。13例接受EMGR治疗的患者中有12例（92%）症状改善，接受眼肌毒素注射治疗的14例患者均有暂时改善，72例接受手术的患者中有66例（92%）症状改善。文中讨论了这三种康复方法的适应证、技术及效果。
