Volokitin Mikhail, Sheikh Asad, Patel Sapan, Milani Susan, Banihashem Mary
Osteopathic Medicine, Touro College of Osteopathic Medicine, New York, USA.
Osteopathic Medicine, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, USA.
Cureus. 2020 Oct 22;12(10):e11092. doi: 10.7759/cureus.11092.
Bell's palsy (BP) occurs when the facial nerve (CN VII) is swollen, inflamed, or compressed, resulting in facial weakness or paralysis; etiology is unknown. BP patients often succumb to a decreased quality of life due to the inability to make facial expressions, increased sensitivity to auditory stimuli, and dysregulation in tear and saliva production. Despite conventional examination and therapy options, the syndrome is majorly regarded as idiopathic and left unresolved for many patients. In this case of a patient with BP, treatment with osteopathic manipulative treatment (OMT) which focused on restoring a normal structure-function relationship resolved the patient's symptoms. The osteopathic manipulative procedures utilized findings from an osteopathic structural exam and addressed those somatic dysfunctions with OMT. The authors report that the patient's symptoms improved after the application of OMT and without the use of pharmaceuticals. The results of the case study suggest that treating BP with OMT can rapidly improve symptoms and can be used without or concurrently with other treatment modalities, if applicable. Patient's consent for this case report was obtained in written and verbal form.
当面神经（CN VII）肿胀、发炎或受压时，就会发生贝尔氏面瘫（BP），导致面部无力或瘫痪；病因不明。由于无法做出面部表情、对听觉刺激的敏感性增加以及泪液和唾液分泌失调，BP患者的生活质量往往会下降。尽管有传统的检查和治疗方法，但该综合征在很多患者中主要被视为特发性的，且未得到解决。在这个BP患者的病例中，以恢复正常结构-功能关系为重点的整骨手法治疗（OMT）解决了患者的症状。整骨手法操作利用了整骨结构检查的结果，并通过OMT解决了那些躯体功能障碍。作者报告称，应用OMT后患者症状有所改善，且未使用药物。该病例研究结果表明，用OMT治疗BP可迅速改善症状，并且如果适用，可在不使用其他治疗方式或与其他治疗方式同时使用的情况下进行。已以书面和口头形式获得患者对本病例报告的同意。
