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[急性面瘫作为2019冠状病毒病疫苗接种的一种可能并发症]

[Acute facial paresis as a possible complication of vaccination against SARS-CoV-2].

作者信息

Volk Gerd Fabian, Kuttenreich Anna-Maria, Geitner Maren, Guntinas-Lichius Orlando

机构信息

Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde und Fazialis-Nerv-Zentrum, Universitätsklinikum Jena.

出版信息

Laryngorhinootologie. 2021 Jul;100(7):526-528. doi: 10.1055/a-1501-0470. Epub 2021 May 11.

Abstract

Although acute facial nerve palsy (Bell's palsy) is explicitly mentioned in the information sheets for vaccines as a possible complication of vaccination against SARS-CoV-2, from our point of view the benefits of the vaccination clearly outweigh the possible risks. At most, if at all, a slightly increased risk can be derived from the previous case reports. In general, the risk of acute facial palsy is described in association with many vaccinations. The risk, if any, does not appear to be a specific risk of SARS-CoV-2 vaccines. On the other hand, cases of acute facial palsy as symptom of a COVID-19 disease have also been described, so that the theoretical question arises as to the extent to which the vaccination may prevent rather than promote the occurrence of facial palsy. Ultimately, if acted quickly, acute facial paralysis can be treated well and its severity and sequelae cannot be compared with the severity of a COVID-19 disease and its possible long-COVID sequelae.

摘要

尽管疫苗信息表中明确提到急性面神经麻痹(贝尔氏麻痹)是接种新冠病毒疫苗可能出现的并发症,但在我们看来,接种疫苗的益处显然大于可能存在的风险。至多,根据以往的病例报告,可能会得出风险略有增加的结论。一般来说,急性面神经麻痹的风险与多种疫苗接种有关。即便存在风险,这似乎也不是新冠病毒疫苗特有的风险。另一方面,也有急性面神经麻痹作为新冠疾病症状的病例报道,因此出现了一个理论问题,即接种疫苗在多大程度上可能预防而非促发面神经麻痹的发生。最终,如果能迅速采取行动,急性面神经麻痹可以得到很好的治疗,其严重程度和后遗症无法与新冠疾病的严重程度及其可能的新冠长期后遗症相比较。

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