TỔNG QUAN VỀ ĐIỀU TRỊ NỘI KHOA BẢO TỒN LIỆT DÂY THẦN KINH VII NGOẠI BIÊN TRONG CHẤN THƯƠNG XƯƠNG THÁI DƯƠNG

Abstract

Objectives: Describe of the outcomes of conservative medical treatment  for peripheral facial nerve palsy due to the temporal bone fracture. Study design: Scoping review. Methods: Using databases from Pubmed website, Hanoi Medical University library and manual search (January 2013 to June 2022). The inclusion criteria: studies of conservative medical treatment for peripheral facial nerve palsy due to the temporal bone fracture. Results: 10 studies were included in this scoping review all used corticosteroids with a variety of regimens and all reported an improvement outcome in the degree of facial paralysis of patients with conservative medical treatment. The evaluation of the results after treatment all use the House-Brackman 1985 and 70% (7/10) of the studies had over 60% of patients recovered to House–Brackmann grade I–II. Conclusion: All studies used corticosteroids for conservative medical treatment of peripheral facial nerve palsy due to the temporal bone fracture. The treatment results achieved significantly favorable clinical improvement. The criteria of selecting patients for treatment were mostly agreed by the authors, including: late-onset facial paralysis, incomplete facial paralysis, degenerative ENoG results < 90%, presence of regenerative potential and/or the absence of vibration potential on EMG results, are suitable candidates for a conservative medical indication.