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ひの１例

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  • Stellate ganglion block for facial nerve palsy after intraoral vertical ramus osteotomy
  • セイジョウ シンケイセツ ブロック ガ ソウコウシタ カガクシ スイチョク ホネキリ ジュツゴ ノ ガンメン シンケイ マヒ ノ 1レイ

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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.

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