Department of Otolaryngology - Head and Neck Surgery, Monash Health, Melbourne, Australia.
J Laryngol Otol. 2021 Jan;135(1):88-92. doi: 10.1017/S0022215120002431. Epub 2020 Dec 9.
Facial nerve baroparesis is a rare phenomenon which has been reported during flight. It is thought to occur due to ischaemic neuropraxia on the facial nerve as middle-ear pressure increases in the presence of Eustachian tube dysfunction and force is transmitted through a dehiscent facial nerve canal.
This study presents an aviation-associated, right-sided facial nerve palsy as well as presenting the results of a systematic review that was performed on the available literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Full-text articles from Medline, PubMed and Embase were used, as well as associated reference lists. This study systematically reviews the literature to discuss presentation, investigations performed and an approach to management of this rare condition.
This study identified 23 cases in the literature (including the case presented in this study) of facial nerve baroparesis.
Facial nerve baroparesis is a mostly temporary rare phenomenon that can be managed effectively with ventilation tube insertion. In the event of long-standing facial nerve palsy after descent of the aircraft, urgent myringotomy should be performed to prevent permanent facial nerve damage.
面神经压迫性麻痹是一种罕见的现象，曾在飞行中报告过。据认为，由于咽鼓管功能障碍导致中耳压力增加时，面神经缺血性神经病变，并通过面神经裂孔传导力，从而导致面神经压迫性麻痹。
本研究介绍了一例与航空相关的右侧面神经瘫痪，并对现有文献进行了系统评价，该评价使用了系统评价和荟萃分析的首选报告项目指南。使用了 Medline、PubMed 和 Embase 的全文文章，以及相关的参考文献列表。本研究系统地回顾了文献，讨论了这种罕见情况的表现、进行的检查和治疗方法。
本研究在文献中确定了 23 例面神经压迫性麻痹病例（包括本研究中报告的病例）。
面神经压迫性麻痹是一种较为罕见的暂时现象，通过插入通气管可以有效治疗。如果在飞机下降后出现长期面神经瘫痪，应紧急进行鼓膜切开术，以防止面神经永久性损伤。
