Department of Otolaryngology, University of Tokushima School of Medicine, Tokushima, Japan.
Department of Otolaryngology, Anan Medical Center, Tokushima, Japan.
J Med Invest. 2020;67(1.2):87-89. doi: 10.2152/jmi.67.87.
The objective of this study is to clarify when facial palsy patients with lower value of Electroneurography (ENoG) should begin the rehabilitation to prevent the development of facial synkinesis. For this purpose, we examined the relationship between the value of ENoG measured 10-14 days after facial palsy onset and the onset day of the development of oral-ocular synkinesis. Sixteen patients with facial palsy including 11 with Bell's palsy and 5 with Ramsay Hunt syndrome (7 men and 9 women ; 15-73 years old ; mean age, 41.6 years) were enrolled in this study. There was no correlation between ENoG value and the onset day of the development of oral-ocular synkinesis (ρ = .09, p = .73). Oral-ocular synkinesis began to develop in 4.0 ± 0.7 months (mean ± SD ; range : 3.1-5.0 months) after facial palsy onset regardless of ENoG value. In conclusion, ENoG value cannot predict when facial synkinesis develops in patients with facial palsy. We recommend that facial palsy patients with a high risk for the development of synkinesis begin the biofeedback rehabilitation with mirror to prevent the development of facial synkinesis 3 months after facial palsy onset. J. Med. Invest. 67 : 87-89, February, 2020.
本研究旨在阐明面神经电图（ENoG）值较低的面瘫患者何时开始康复治疗以预防面肌联带运动的发生。为此，我们检查了面瘫发病后 10-14 天测量的 ENoG 值与口眼联带运动发生的起始日之间的关系。本研究共纳入 16 例面瘫患者，包括 11 例贝尔麻痹和 5 例 Ramsay Hunt 综合征（7 名男性和 9 名女性；年龄 15-73 岁；平均年龄 41.6 岁）。ENoG 值与口眼联带运动发生的起始日之间无相关性（ρ=0.09，p=0.73）。无论 ENoG 值如何，面瘫发病后 4.0±0.7 个月（均数±标准差；范围：3.1-5.0 个月）开始出现口眼联带运动。总之，ENoG 值不能预测面瘫患者面肌联带运动的发生时间。我们建议面瘫发病后 3 个月，对面神经联带运动发生风险较高的面瘫患者进行镜像生物反馈康复治疗，以预防面肌联带运动的发生。J. Med. Invest. 67 : 87-89, February, 2020.
