ﻓﻠﺞ ﻋﺼﺐ ﻓﺎﺷﯿﺎل: ﻗﺴﻤﺖ اول: ﺑﺮرﺳﯽ ﻣﺮوري ﻋﻼﺋﻢ ﭼﺸﻤﯽ و ﻧﺤﻮة درﻣﺎن آن

Facial Nerve Palsy: Part I: Review of Eye Symptoms and its Treatment

ﻓﻠﺞ ﻋﺼﺐ ﺻﻮرت ﻫﻤﻪ ﺳﻨﯿﻦ، ﻧﮋادﻫﺎ و ﺟﻨﺲﻫﺎ را ﺗﺤﺖ ﺗﺄﺛﯿﺮ ﻗﺮار ﻣﯽدﻫﺪ. ﭘﯿﺎﻣﺪﻫﺎي رواﻧﯽ و ﻋﻤﻠﮑﺮدي ﺣﺎﺻﻞ از اﯾﻦ ﻓﻠﺞ ﺑﻪ ﻋﻨﻮان ﯾﮏ ﻣﺸﮑﻞ ﺑﺰرگ در اﻓﺮاد ﻣﺒﺘﻼ ﺗﻠﻘﯽ ﻣﯽﮔﺮدد. ﻓﻠﺞ ﻋﺼﺐ ﺻﻮرت ﺑﻪ دﻧﺒﺎل ﺗﺮوﻣﺎ، ﺟﺮاﺣﯽ و ﯾﺎ ﺑﻪ دﻻﯾﻞ اﯾﺪﯾﻮﭘﺎﺗﯿﮏ )ﻧﺎﺷﻨﺎﺧﺘﻪ(، ﺳﻼﻣﺖ ﭼﺸﻢ را ﺑﻪ ﺧﻄﺮ ﻣﯽاﻧﺪازد. از ﺷﺎﯾﻌﺘﺮﯾﻦ ﻋﻮارض ﻓﻠﺞ ﻋﺼﺐ ﺻﻮرت از دﺳﺖ دادن ﻋﻤﻠﮑﺮد ﭘﻠﮏ اﺳﺖ ﮐﻪ ﻧﺎﺗﻮاﻧﯽ در ﭘﻠﮏ زدن و ﺣﻔﺎﻇﺖ از ﻗﺮﻧﯿﻪ ﻣﻨﺠﺮ ﺑﻪ اﻟﺘﻬﺎب ﻗﺮﻧﯿﻪ، ﺧﺮاﺷﯿﺪﮔﯽ ﻗﺮﻧﯿﻪ و ﺣﺘﯽ از دﺳﺖ دادن ﺑﯿﻨﺎﯾﯽ ﻣﯽﺷﻮد. ﺑﻪ اﯾﻦ دﻟﯿﻞ درﻣﺎن ﻋﻮارض ﭼﺸﻤﯽ ﺑﻪ دﻧﺒﺎل ﻓﻠﺞ ﻋﺼﺐ ﺻﻮرت از اﻫﻤﯿﺖ ﻋﻤﺪهاي ﺑﺮﺧﻮردار ﻣﯽﺑﺎﺷﺪ. روشﻫﺎي ﻣﺨﺘﻠﻔﯽ از ﻗﺒﯿـﻞ درﻣﺎنﻫﺎي ﭘﺰﺷﮑﯽ )ﺳﻢ ﺑﻮﺗﻮﻟﯿﻨﻮم(، ﯾﺎ ﺟﺮاﺣﯽ )وزﻧﻪﻫﺎي داﺧﻠﯽ ﯾﺎ ﺧﺎرﺟﯽ در ﭘﻠﮏ ﻓﻮﻗﺎﻧﯽ ﯾﺎ ﺗﺎرﺳﻮراﻓﯽ( اﺳﺘﻔﺎده ﻣﯽﺷﻮﻧﺪ. ﺑﻨﺎﺑﺮاﯾﻦ ﺑﺮﻧﺎﻣﻪرﯾﺰي دﻗﯿﻖ و ﻃﻮﻻﻧﯽ ﻣﺪت ﺑﺮاي اﺣﯿﺎء ﭘﻠﮏ و ﻧﯿﺰ ﺻﻮرت ﻻزم اﺳﺖ. در اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﻪ ﻣﺮور ﻣﺸﮑﻼت ﭼﺸﻢ و راهﻫﺎي ﻣﺨﺘﻠﻒ درﻣﺎن آن مي پردازيم

Facial nerve palsy affects individuals of all ages, races, and sexes. Psychological and functional implications of the paralysis present a devastating management problem to those afflicted. Facial paralysis following trauma, surgery or due to idiopathic (unknown), eye health at risk. The most devastating sequelae of facial nerve paralysis is the loss of eyelid function. The inability to blink and protect the globe can lead to exposure keratitis, corneal abrasion and even the loss of vision. For this reason, treatment of eye complications for facial paralysis is of major importance. Various methods such as medical treatments (botulinum toxin) or surgical (internal or external weights on the upper eyelid or tarsorraphy) are used. So careful planning and long-term it is necessary to revive the eyelids and face. In this study reviews the various eye problems and the way we treat it.