Division of Neurosurgery, Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong.
Division of Neurosurgery, Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong.
World Neurosurg. 2020 Aug;140:e343-e347. doi: 10.1016/j.wneu.2020.05.079. Epub 2020 May 17.
Facial paresis is one of the complications after treatment for vestibular schwannoma (VS). Acupuncture has been used for Bell palsy but not in iatrogenic facial paresis. The objective of this study is to measure the efficacy of using acupuncture for iatrogenic facial nerve palsy and patients' satisfaction.
This is a single-center retrospective study with patients from 2007-2019 received treatment for newly diagnosed or recurrent VS. Some patients who suffered facial paresis after surgery had self-initiated acupuncture. All patients who had facial paresis were included. Their facial nerve status before and immediately after surgery, postoperative 6 months and 12 months, were recorded. Those who received acupuncture also answered 6- and 12-month patient satisfaction surveys over the phone. Adverse effects were also assessed.
There were 123 patients in this period. Of these, 29 patients had iatrogenic facial paresis and 23 of them received acupuncture. There was significant improvement of facial paresis for the acupuncture group compared with the nonacupuncture group at 6 and 12 months. More than 80% of patients who received acupuncture were satisfied. They had motor improvement and experienced less pain and tightness. No adverse effects were reported.
Acupuncture for postresection VS facial paresis seemed to speed up its recovery. Both patients' recovery and satisfaction were good after acupuncture, and it seemed to be a safe procedure in trained hands.
面瘫是听神经瘤（VS）治疗后的并发症之一。针灸已用于贝尔麻痹，但不适用于医源性面瘫。本研究旨在评估针灸治疗医源性面神经麻痹的疗效和患者满意度。
这是一项单中心回顾性研究，纳入了 2007 年至 2019 年接受新诊断或复发性 VS 治疗的患者。一些术后发生面瘫的患者自行接受了针灸治疗。所有发生面瘫的患者均被纳入研究。记录他们手术前后即刻、术后 6 个月和 12 个月的面神经状况。接受针灸治疗的患者还通过电话回答了 6 个月和 12 个月的患者满意度调查。同时还评估了不良反应。
在此期间共有 123 例患者。其中 29 例发生医源性面瘫，23 例接受了针灸治疗。与非针灸组相比，针灸组在 6 个月和 12 个月时面瘫的改善更为显著。接受针灸治疗的患者中，超过 80%表示满意。他们的运动功能得到改善，且疼痛和紧绷感减轻。未报告不良反应。
针灸治疗 VS 术后面瘫似乎可以加快恢复速度。针灸后患者的恢复和满意度都很好，且在经过培训的医生手中似乎是一种安全的治疗方法。
