星状神経節ブロックが奏効した下顎枝垂直骨切り術後の顔面神経麻痺の1例 Stellate ganglion block for facial nerve palsy after intraoral vertical ramus osteotomy
We report a case of facial nerve palsy that occurred after orthognathic surgery. This is a rare, but serious complication.<BR>A 31-year-old woman with mandibular prognathism underwent bilateral intraoral vertical ramus osteotomy. Right facial nerve palsy suddenly developed 3 days after the operation. Although steroid therapy was started immediately, there was no response. Then, stellate ganglion block (SGB) was performed. The facial nerve palsy completely resolved 4 months after the operation. SGB was suggested to be effective for facial nerve palsy occurring after orthognathic surgery.
日本口腔外科学会雑誌 53(3), 188-191, 2007-03-20
Japanese Society of Oral and Maxillofacial Surgeons