Shokri Tom, Azizzadeh Babak, Ducic Yadranko
Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.
Department of Facial Plastic & Reconstructive Surgery, Center for Advanced Facial Plastic Surgery, Beverly Hills, California.
Semin Plast Surg. 2020 Nov;34(4):277-285. doi: 10.1055/s-0040-1721824. Epub 2020 Dec 24.
Facial paralysis is a devastating condition, encompassing a spectrum of disorders, with resultant psychosocial, functional, and aesthetic sequelae. With this in mind, an individualized treatment approach based on the cause, pattern, and duration of palsy is necessary. Treatment options include pharmacologic agents, corneal protective interventions, physical therapy, and surgical procedures. The use of steroids and antivirals in the setting of idiopathic facial paralysis or virus-associated facial paralysis is well supported. Despite the diversity of surgical interventions described, there is a lack of consensus regarding optimal treatment. This article provides an overview of the current management of facial paralysis. Medical, surgical, and physical treatment options are discussed with a review of the relevant literature.
面神经麻痹是一种严重的疾病，涵盖一系列病症，会导致心理社会、功能和美学方面的后遗症。考虑到这一点，基于麻痹的病因、模式和持续时间采取个体化的治疗方法是必要的。治疗选择包括药物、角膜保护干预措施、物理治疗和外科手术。在特发性面神经麻痹或病毒相关性面神经麻痹的情况下使用类固醇和抗病毒药物有充分的依据。尽管描述的外科干预措施多种多样，但对于最佳治疗方法仍缺乏共识。本文概述了目前面神经麻痹的治疗方法。结合相关文献综述，讨论了医学、外科和物理治疗选择。
