Service ORL et chirurgie cervico-faciale, institut Arthur-Vernes, 36, rue d'Assas, Paris, France.
Service d'imagerie médicale, institut Arthur-Vernes, Paris, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2021 May;138(3):187-189. doi: 10.1016/j.anorl.2020.09.009. Epub 2020 Oct 1.
Facial baroparesis is a rare event, usually associated with a favourable outcome. It is related to atmospheric pressure changes that are responsible for neuropraxia. Most cases of facial baroparesis have been reported in the context of underwater diving, but very few cases have been reported during commercial flights.
We report the case of a patient who experienced several episodes of spontaneously resolving left facial palsy during long-haul flights. The work-up revealed bilateral facial nerve canal dehiscence visible on CT scan and clinical features of bilateral otitis media with effusion associated with hearing loss.
The pathogenesis of this disease involves the combination of these two elements inducing ischaemia of the exposed facial nerve submitted to pressure variations. In most cases, ischaemia is rapidly reversible with complete recovery after landing or in response to Valsalva manoeuvres. It is therefore important not to miss this entity to avoid delayed or inappropriate management.
面部压力感觉丧失是一种罕见的现象，通常预后良好。它与负责神经失用的气压变化有关。大多数面部压力感觉丧失的病例都发生在水下潜水的情况下，但在商业航班中报告的病例非常少。
我们报告了一例患者在长途飞行中经历了数次自发缓解的左侧面瘫发作。检查显示双侧面神经管在 CT 扫描上可见裂缝，伴有双侧中耳炎和听力损失的临床特征。
这种疾病的发病机制涉及这两个因素的结合，导致暴露的面神经受到压力变化的缺血。在大多数情况下，缺血是快速可逆的，在着陆后或通过瓦尔萨尔瓦动作完全恢复。因此，重要的是不要错过这个实体，以避免延迟或不适当的管理。
