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ENTRAPMENT NEUROPATHY IN ACUTE FACIAL PARALYSIS ; CIRCURATORY DISTURBANCE AND ITS TREATMENT

Research Project

Project/Area Number 07457402
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Otorhinolaryngology
Research InstitutionKOCHI MEDICAL SCHOOL

Principal Investigator

SAITO Haruo  Kochi Medical School, Department of Otolaryngology, Professor, 医学部, 教授 (20026917)

Co-Investigator(Kenkyū-buntansha) YOKOBATAKE Etsuko  Kochi Medical School, Department of Otolaryngology, Research Associate, 医学部・附属病院, 助手 (80271097)
NAKATANI Hiroaki  Kochi Medical School, Department of Otolaryngology, Assistant Professor, 医学部・附属病院, 講師 (60172334)
TAKEDA Taizo  Kochi Medical School, Department of Otolaryngology, Associate Professor, 医学部, 助教授 (50115763)
Project Period (FY) 1995 – 1997
Project Status Completed (Fiscal Year 1997)
Budget Amount *help
¥8,300,000 (Direct Cost: ¥8,300,000)
Fiscal Year 1997: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1996: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1995: ¥7,100,000 (Direct Cost: ¥7,100,000)
KeywordsFacial palsy / decompression / incomplete recovry / pathologic synkinesis / circulatory disturbance / facial nerve / biofeed back / HRP / マイクロスフェア / 逆行性輸送 / 薬物的減荷 / 顔面神経 / 絞扼麻痺 / 麻痺モデル / グリセロール / 神経減荷
Research Abstract

There have been scant information on circulation of the facial nerve under compression. Aim of the research was to study histologic evidence of compression of the vessels, and treatment to overcome the compression produced in the temporal bone. A infused resin study showed that vessels were hardly identifiable at the stage of miximum swelling. In normal guinea pigs and after administration of glycerol, vessels were identifiable in peri-and epineurium. There are communicative routes between the CSF and interstitial space of the facial nerve. Microspheres passing study showed that the route closed at initial swelling stage of palsy. After administration of glycerol, the route reopened.
The glycerol had effective only 24 hours with single shot mainly in the geniculate ganglion area. Serial administration is necessary. Taking off the canal at the time of nerve damage not only reduced the incidence of palsy, but also severe palsy. In clinical cases, decompression within 7 days of onset of the palsy reduced the cases recovered with pathologic synkinesis. To prevent circulatory disturbance of the nerve, we proposed early total facial nerve decompression ; medically in the labyrinthine and geniculate segment, and surgically in the tympanic and mastoid segment.

Report

(4 results)
  • 1997 Annual Research Report   Final Research Report Summary
  • 1996 Annual Research Report
  • 1995 Annual Research Report
  • Research Products

    (45 results)

All Other

All Publications (45 results)

  • [Publications] 中谷 宏章: "逆行性顔面神経誘発電位の臨床応用-正常例における検討-" 耳鼻臨床. 88. 867-871 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 竹田 泰三: "虚血生顔面神経麻痺モデル動物の長期観察" Facial N Res Jpn. 15. 25-30 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 佐藤 由宇: "顔面神経麻痺程度の定量的評価法-積分筋電図と表情運動スコアの比較" Facial N Res Jpn. 15. 95-100 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 浜田 昌史: "顔面神経麻痺治療におけるグリセロールの効果について-続報-" Facial N Res Jpn. 15. 169-172 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 岩井 満: "磁気刺激による顔面神経麻痺の評価について" Facial N Res Jpn. 15. 119-123 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 中谷 宏章: "逆行性顔面神経誘発電位の臨床応用-片側顔面痙攣症における記録-" Facial N Res Jpn. 15. 71-74 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 辻 恒治郎: "顔面神経麻痺モデル動物に及ぼすグリセロールの効果" Facial N Res Jpn. 17. 87-88 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 竹田 泰三: "顔面神経減荷術の有効性について-動物実験および臨床例での検討-" Facial N Res Jpn. 17. 4-6 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Takeda T: "Intartemporal facial nerve blood flow in guinea pigs" Am J Otol. 18. 252-256 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 齋藤 春雄: "脳神経障害による顔面神経麻痺" JOHNS. 13. 1673-1677 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Kishimoto S: "Blood distribution in the facial nerve in temporal bones acquired from cases with subarachnoid hemorrhage" Laryngoscope. (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 中谷 宏章: "逆行性顔面神経誘発電位による顔面神経麻痺の早期予後診断" Facial N Res Jpn. 16. 117-120 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 竹田 泰三: "虚血生麻痺モデル動物に対する減荷術の効果" Facial N Res Jpn. 16. 187-191 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 竹田 節子: "岩様部枝遮断動物の顔面神経麻痺経過" 耳鼻. 42. 1082-1088 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 竹田 節子: "虚血性顔面神経麻痺モデル動物 組織学的検討I" 耳鼻. 43. 38-47 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 竹田 節子: "虚血製顔面神経麻痺モデル動物 組織学的検討II" 耳鼻. 43. 506-515 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 中谷 宏章: "逆行性顔面神経誘発電位による顔面神経麻痺の予後診断" Facial N Res Jpn. 17. 25-27 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 齋藤 春雄: "顔面神経絞扼麻痺の基礎と臨床 17" 高知医科大学耳鼻咽喉科学教室, 140 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Nakatani H :"Clinical application of antidromic facial nerve response -Studies in nomal subjects-" Practica otologica. 88 : 7. 867-871 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Tkeda T :"Long-term follow-up of experimentally-induced ischemic facial palsy" Facial N Res Jpn.15. 25-30 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Satou Y :"Quantitative assessment of the facial palsy ; Comparison between the integrated electromyogram and the facial grading scale" Facial N Res Jpn.15. 95-100 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Hamada M :"Effect of glycerol on treatment of peripheral facial palsy : Second report" Facial N Res Jpn.15. 169-172 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Iwai M :"Magnetic facial nerve stimulation in peripheral facial palsy" Facial N Res Jpn.15. 119-123 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Nakatani H :"Clinical application of the antidromic facial nerve response : Recordings in patients having hemifacial spasm" Facial N Res Jpn.15. 71-74 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Nakatani H :"Early prognostic assessment of facial palsy by antidromic facial nerve response" Facial N Res Jpn.16. 117-120 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Takeda T :"Effect of decompression of the facial nerve in an animal model of ischemic facial palsy" Facial N Res Jpn.16. 187-191 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Takeda S :"The natural history of an animal model of ischemic facial palsy" Otolaryngology. 42. 1082-1088 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Takeda S :"An animal model of ischemic facial palsy : Histological findings I" Otolaryngology. 43. 38-47 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Takeda S :"An animal model of ischemic facial palsy : The histological findings (II)" Otolaryngology. 43. 506-515 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Nakatani H :"Prognostic assessment of facial palsy by antidromic facial nerve response" Facial N Res Jpn.17. 25-27 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Tsuji K :"Effect of Glycerol on the facial nerve in an experimental facial palsy model" Facial N Res Jpn.17. 87-88 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Takeda T :"Efficacy of decompression surgery of the facial nerve : Experimantal and clinical studies" Facial N Res Jpn.17. 4-6 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Takeda T :"Intratemporal facial nerve blood flow in guinea pigs" Am J Otol. 18. 252-256 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Saito H :"Facial palsy of cranial nerve lesions" JOHNS. 13. 1673-1677 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Kishimoto S :"Blood distribution in the facial nerve in temporal bones acquired from cases with subarachnoid hemorrhage" Laryngoscope. (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Saito H :: Entrapment facial palsy -A basic and clinical study-. Kochi Medical School, 1-140 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 中谷 宏章: "逆行性顔面神経誘発電位による顔面神経麻痺の予後診断" Facial Nerve Research. 17. 25-27 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 辻恒治郎: "顔面神経麻痺モデル動物に及ぼすグリセロールの効果" Facial Nerve Research. 17. 87-88 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 竹田 泰三: "顔面神経減荷術の有効性について-動物実験および臨床例での検討-" Facial Nerve Research. 17. 1-6 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Takeda.T 他: "Intratemporal Facial Nerve Blood Flow in Guinea Pigs" The American Journal of Otology. (発表予定). (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] 竹田節子 他: "虚血性顔面神経麻痺モデル動物 組織学的検討I" 耳鼻と臨床. 43巻1号. 38-47 (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] 竹田泰三 他: "虚血性麻痺モデル動物に対する減荷術の効果" Facial nerve Research. 16巻. 187-191 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 竹田節子 他: "岩様部枝遮断動物の顔面神経麻痺経過" 耳鼻と臨床. 42巻6号. 1082-1088 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 濱田昌史、他: "顔面神経麻痺治療におけるグリセロールの効果について." Facial N Res Jpn. 15. 169-172 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 齊藤春雄: "顔面神経絞扼麻痺の基礎と臨床(宿題報告)" 高知医科大学耳鼻咽喉科学教室(印刷中), (1996)

    • Related Report
      1995 Annual Research Report

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Published: 1995-04-01   Modified: 2016-04-21  

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