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題名 | 牙科麻醉造成顏面神經麻痺--病例報告=Facial Nerve Palsy after Local Dental Anesthesia |
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作者 | 張陽明; 黃偉烈; 沈裕福; Chang, Yang-ming; Huang, Wei-lieh; Shen, Yu-fu; |
期刊 | 中華民國口腔顎面外科學會雜誌 |
出版日期 | 19970300 |
卷期 | 8:1 1997.03[民86.03] |
頁次 | 頁51-55 |
分類號 | 416.951 |
語文 | chi |
關鍵詞 | 顏面神經麻痺; |
中文摘要 | 因牙科麻醉所造成的周邊顏面神經麻痺的病例並不常見,本篇介紹二個病例,其 中一例依 Robin 的分類屬立即型( immediate type ),另一例則為延遲型( delay type )的病例,並探討可能發生的機制與治療方針。 |
英文摘要 | Facial nerve palsy is a rare complication of dental local anesthesia. This artic, e reports two cases: one is an immediate type and the other is a delayed tpye paralysis. in the immediate type, the paralysis occurs within several minutes after injecting local anethesia. The mechanism is due to using anesthesia of inferior alveolar nerve block cause the facial nerve frunk paralysis. The deposition of solution in the deep lobe of parotid gland is also possible. The duration of the anesthesia for the immediate type usually lasts four hours. However, in the delayed type. usually lasts four hours. However, in the delated type, the onset of paralysis occurs with in several hours to several days following the dental treatment. This may be caused by an ascending viral infection through the lingual nerve during incubation period, affecting the chorda tympani nerve first, and the main trunk second. The recovery, which takes about several weeks, depents on the degree of the aamage of the facial nerve. |
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