Resultate der Blockadenbehandlung an 100 Fallen von Bellschen Paralysen
| Autor: | G. Nemanić, J. Krmpotić-Nemanić |
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| Rok vydání: | 1969 |
| Předmět: | |
| Zdroj: | ORL. 31:234-239 |
| ISSN: | 1423-0275 0301-1569 |
| DOI: | 10.1159/000274898 |
| Popis: | We have treated in the period from 1962–1968 100 cases of Bell’s palsy with our own conservative method applied first in 1962. Considering the irritation of the sensitive anastomoses as the cause of the Bell’s palsy, we blocked these anastomoses with 2 ccm of 2% xylocaine and newly with carbocaine (scandicaine) to interrupt the transmission of these irritations by cross-firing to the motor fibres of the facial nerve. The most frequent anastomoses are those with the glossopharyngeal and with the auriculotemporal nerve. We determined the place of the blockade according to the region of pain the patient complained of before the development of the palsy. In the cases where the painfull region was not well defined by the patient we blocked the facial nerve himself at its issue from the foramen stylomastoideum. We needed in general 2–7 blockades to cure the palsy without any other conservative treatment. The greatest number of patients came to us the first 7 to 20 days after the development of the palsy but we had cases that had the palsy already for one or two years before they came to treatment. Even in these old cases we succeeded to cure the palsy by applying 4–15 blockades. We blocked the patients every day up to 7 blockades and than we continued to blockade every second day. In one third of our patients we had, especially when using carbocaine, an immediate success after the first injection, but we continued nevertheless with injections 5–7 days. Nearly in all cases we remarked at the first injection as well as at following injections a fibrillation of the facial muscles lasting few minutes. |
| Databáze: | OpenAIRE |
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