PERİFERİK YÜZ FELCİ TANI-TEDAVİSİ ve BİR OLGUYA NÖRALTERAPİ YAKLAŞIMI

Periferik yüz felci gelişimi çok farklı nedenlere bağlı olarak VII kafa çifti olan N. facialisin periferde tutulması sonucu gelişen yüz asimetrisini bozan, konuşma, yemek yeme ve sıvı gıda almada zorluk oluşturan, kapanmayan göz kapağı sonucu kornea tahrişi ile hem fiziksel hem de psikolojik etki yapan bir hastalıktır.Tanısı anemnez ve klinik tablo ile konan periferik yüz felcinin tedavisinde cerrahi dahil çok farklı tedavi protokolleri uygulanmaktadır.71 yaşındaki erkek hastamızın (Hause-Brackmann Evre 4) tedavisinde nöralterapi uyguladık. Olgu sunumumuzda nöralterapinin Periferik yüz felcinin tedavisindeki etkinliğini değerlendirdik

DIAGNOSIS AND TREATMENT BY PERIPHERIC FACIAL PARALYSIS AND A CASE REPORT

Peripheral facial paralysis etiology is due to many different reasons.The symptoms are due to peripheral disruption of the VII cranial nerve (n. Facialis) . The disease affects the patient both physically and psychologically. The clinical diagnosis of peripheral facial paralysis is done according to the medical history and clinical symptoms. For the treatment of peripheral facial paralysis, different treatment protocols, including surgery are implemented. In our case presentation, we evaluate the effectiveness of neural therapy in the treatment of peripheral facial paralysis

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  • May M. Anatomy for the clinician. In: May M, Schaitkin BM. (ed). The Facial nerve. New York: Theime; 2000:19-56.
  • Arnold A, Darrouzet V. Facial nerve. In: Anniko M, Bernal-Siprekelsen M, Bankowski V, Bradley P, Iurato S. Europian manuel of medicine. Otor- hinolaqryngology, Head and Neck surgery. New York, Springer-Verlag. 2010: 147-155.
  • Holland NJ, Weiner GM. Recent developments in Bell’s palsy. Br Med J. 2004; 329:553–557.
  • Tiemstra JD, Khatkhate N. Bell’s palsy: diagnosis and management. Am Fam Physician. 2007;76:997-1002
  • Kang TS, Vrabec JT, Giddings N, Terris DJ. Facial Nerve Grading Systems (1985-2002): beyond the House-Brackmann scale. Otol Neurotol. 2002;23:767-71
  • Kanerva M, Poussa T, Pitkäranta A. Sunnybrook and House-Brackmann Facial Grading Systems: intrarater repeatability and interrater agree- ment. Otolaryngol Head Neck Surg.2006;135:865-71.
  • Beurskens CH, Heymans PG. Positive effects of mime therapy on sequ- elae of facial paralysis: stiffness, lip mobility, and social and physical as- pects of facial disability. Otol Neurotol. 2003;24:677–81.
  • Cederwall E, Olsen MF, Hanner P, Fogdestam I. Evaluation of a physi- otherapeutic treatment intervention in “Bell’s” facial palsy. Physiother Theory Pract. 2006;22:43–52.
  • Cronin GW, Steenerson RL. The effectiveness of neuromuscular facial retraining combined with electromyography in facial paralysis rehabili- tation. Otolaryngol Head Neck Surg. 2003;128:534–38
  • Sullivan FM, Swan IR, Donnan PT, Morrison JM, Smith BH,McKinstry B, Davenport RJ, Vale LD, Clarkson JE,Hammersley V, Hayavi S, McAteer A, Stewart K, Daly F.Early treatment with prednisolone or acyclovir in Bell’s palsy. N Engl J Med. 2007;357:1598–1607.
  • Sullivan FM, Swan IR, Donnan PT, Morrison JM, Smith BH,McKinstry B, Davenport RJ, Vale LD, Clarkson JE, Hernández R, Stewart K, Hammersley V, Hayavi S, McAteer A, Gray D, Daly F. A randomised controlled trial of the use of aciclovir and/or prednisolone for the early treatment of Bell’s palsy: the BELLS study. Health Technol Assess. 2009;13:1-130.
  • McCormick DP. Herpes simplex virus as a cause of Bell’s palsy. 1972. Rev Med Virol. 2000;10:285-9.
  • Axelsson S, Lindberg S, Stjernquist-Desatnik A. Outcome of treatment with valacyclovir and prednisone in patients with Bell’s palsy. Ann Otol Rhinol Laryngol. 2003;112:197-201.
  • Yanagihara N, Hato N, Murakami S, Honda N. Transmastoid decomp- ression as a treatment of Bell palsy. Otolaryngol Head Neck Surg. 2001;124:282-6.
  • Gantz B, Rubinstein JT, Gidley P, Woodworth GG. Surgical management of Bell’s palsy. Laryngoscope 1999;109:1177–88.
  • Bodénez C, Bernat I, Willer JC, Barré P, Lamas G, Tankéré F.Facial nerve decompression for idiopathic Bell’s palsy: report of 13 cases and litera- ture review. Laryngol Otol.2010;124(3):272-8.
  • Sittel C, Sittel A, Guntinas-Lichius O, Eckel HE, Stennert E.Bell’s palsy: a 10-year experience with antiphlogisticrheologic infusion therapy. Am J Otol. 2000;21:425–32.
  • Targan RS, Alon G, Kay SL. Effect of long-term electrical stimulation on motor recovery and improvement of clinical residuals in patients with un- resolved facial nerve palsy.Otolaryngol Head Neck Surg. 2000;122:246- 52.
  • Acarkan T, Nazlıkul H, Nervus Fasiyalis Paralizisi, BARNAT 2015, Cilt 9 Sayı 1 :16-21