Ballmaier Jonas, Hölzer Sabrina, Geitner Maren, Kuttenreich Anna-Maria, Erfurth Christian, Guntinas-Lichius Orlando, Volk Gerd Fabian
Klinik und Poliklinik für Hals‑, Nasen- und Ohrenheilkunde, Institut für Phoniatrie und Pädaudiologie, Universitätsklinikum Jena, Jena, Deutschland.
Fazialis-Nerv-Zentrums Jena, Klinik und Poliklinik für Hals‑, Nasen- und Ohrenheilkunde, Institut für Phoniatrie und Pädaudiologie, Universitätsklinikum Jena, Haus A, Am Klinikum 1, 07747, Jena, Deutschland.
HNO. 2024 Oct;72(10):702-710. doi: 10.1007/s00106-024-01449-4. Epub 2024 Mar 26.
Digitalization is also becoming increasingly important in medicine. The COVID-19 pandemic has further accelerated this process and politicians are trying to create a framework for successful knowledge transfer and better digital medical care. This article describes the role of telemedicine in the treatment of patients suffering from facial nerve palsy. Facial nerve palsy has a wide range of effects, from limitations in facial mobility to psychological sequelae. While many of the acute, idiopathic facial nerve palsies improve after a few weeks, around a third of those affected develop synkinesis, involuntary movements that have lifelong functional and psychological consequences. Treatment includes various modalities, from medication and surgery to movement training. Telemedicine offers innovative solutions in cases of regional underuse, but also in the treatment of chronic facial nerve palsies. The article defines the term "telemedicine" in the current context and presents different types of application. A detailed analysis of the application scenarios of telemedicine in facial nerve palsy patients shows that despite a lack of evidence, many potentially useful concepts exist.
数字化在医学领域也变得越来越重要。新冠疫情进一步加速了这一进程，政界人士正试图建立一个成功知识转移和改善数字医疗护理的框架。本文描述了远程医疗在治疗面神经麻痹患者中的作用。面神经麻痹有广泛的影响，从面部活动受限到心理后遗症。虽然许多急性特发性面神经麻痹在几周后会有所改善，但约三分之一的患者会出现联动，即非自主运动，会产生终身的功能和心理后果。治疗方法包括多种方式，从药物治疗、手术到运动训练。远程医疗不仅在医疗资源地区性利用不足的情况下提供创新解决方案，在慢性面神经麻痹的治疗中也有应用。本文在当前背景下定义了“远程医疗”一词，并介绍了不同的应用类型。对面神经麻痹患者远程医疗应用场景的详细分析表明，尽管缺乏证据，但仍存在许多潜在有用的概念。
