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面瘫:西班牙耳鼻喉科学会临床实践指南

Facial paralysis: Clinical practice guideline of the Spanish Society of Otolaryngology.

作者信息

Lassaletta Luis, Morales-Puebla José Manuel, Altuna Xabier, Arbizu Álvaro, Arístegui Miguel, Batuecas Ángel, Cenjor Carlos, Espinosa-Sánchez Juan Manuel, García-Iza Leire, García-Raya Pilar, González-Otero Teresa, Mañós Manuel, Martín Carlos, Moraleda Susana, Roda Jose María, Santiago Susana, Benítez Jesús, Cavallé Laura, Correia Victor, Estévez Jose Manuel, Gómez Justo, González Rocío, Jiménez Jorge, Lacosta Jose Luis, Lavilla María José, Peñarrocha Julio, Polo Rubén, García-Purriños Francisco, Ramos Francisco, Tomás Manuel, Uzcanga María, Vallejo Luis Ángel, Gavilán Javier

机构信息

Servicio de Otorrinolaringología, Hospital Universitario La Paz, Madrid, España; Comisión de Otoneurología de la SEORL, Madrid, España; IdiPAZ, Centro de Investigación Biomédica en Red de Enfermedades Raras, Instituto de Salud Carlos III, Madrid, España.

Servicio de Otorrinolaringología, Hospital Universitario La Paz, Madrid, España.

出版信息

Acta Otorrinolaringol Esp (Engl Ed). 2020 Mar-Apr;71(2):99-118. doi: 10.1016/j.otorri.2018.12.004. Epub 2019 May 13.

DOI:10.1016/j.otorri.2018.12.004
PMID:31097197
Abstract

Bell's palsy is the most common diagnosis associated with facial nerve weakness or paralysis. However, not all patients with facial paresis/paralysis have Bell's palsy. Other common causes include treatment of vestibular schwannoma, head and neck tumours, iatrogenic injuries, Herpes zoster, or trauma. The approach to each of these conditions varies widely. The purpose of this guideline is to provide clinicians with guidance on the treatment and monitoring of patients with different causes of facial paralysis. We intend to draft a practical guideline, focusing on operationalised recommendations deemed to be useful in the daily management of patients. This guideline was promoted by the Spanish Society of Otolaryngology and developed by a group of physicians with an interest in facial nerve disorders, including at least one physician from each Autonomous Community. In a question and answer format, it includes 56 relevant topics related to the facial nerve.

摘要

贝尔面瘫是与面神经无力或麻痹相关的最常见诊断。然而,并非所有面部轻瘫/瘫痪患者都患有贝尔面瘫。其他常见原因包括前庭神经鞘瘤的治疗、头颈部肿瘤、医源性损伤、带状疱疹或外伤。针对这些病症的治疗方法差异很大。本指南的目的是为临床医生提供有关不同原因导致的面瘫患者治疗和监测的指导。我们打算起草一份实用指南,重点关注在患者日常管理中被认为有用的可操作建议。本指南由西班牙耳鼻喉科学会推广,由一群对面神经疾病感兴趣的医生制定,其中包括来自每个自治区的至少一名医生。它采用问答形式,包含56个与面神经相关的主题。

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