Facial nerve function training in patients with peripheral facial paralysis: an expert consensus

doi:10.7518/hxkq.2023.2023200

Abstract

Abstract:

Facial nerve training can prevent facial expression muscle atrophy and promote the recovery of facial para-lysis in patients with peripheral facial paralysis. However, there is still a lack of specific and unified technical standards for facial nerve training, which results in a variety of clinical training methods and uneven levels. In order to standardize the application of facial nerve function training technology for nursing staff, the study convened relevant domestic experts, based on evidence-based combination with the disease characteristics of peripheral facial paralysis and expert clinical experience, conducted in-depth interviews with experts, expert correspondence and expert meetings, and finally formulated the expert consensus on facial nerve function training in patients with peripheral facial paralysis. Overall, suggestions for standardizing the timing, training methods, evaluation methods, health education and other aspects were provided for clinical reference.

Key words: peripheral facial paralysis, training technique of facial nerve function, expert consensus

CLC Number:

R 745.1⁺2

Chen Yunmei, Liu Yan, Huang Qiuyu, Luo Jiang, Wu Hongmei, Wang Yehua, Wu Ling, Li Xiu’e, Bi Xiaoqin. Facial nerve function training in patients with peripheral facial paralysis: an expert consensus[J]. West China Journal of Stomatology, 2023, 41(6): 613-621.

Figures/Tables 2

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分级	面神经损伤程度
Ⅰ 神经失用	生理性传导阻滞，但轴突与神经元及终末效应器之间仍保持连续性
Ⅱ 轴突中断	轴突断离但神经内膜保持完整
Ⅲ 神经断裂	轴突和神经内膜断离，但神经束膜仍保持完整
Ⅳ 神经束膜断裂	神经外膜内结构已严重损坏，但尚未完全断裂
Ⅴ 神经断离	神经干完全断裂，失去连续性

分级	程度	总体	静止	运动
Ⅰ级	正常	各区面肌运动正常
Ⅱ级	轻度功能异常	仔细检查时有轻度的面肌无力，可有非常轻的联带运动	面部对称，肌张力正常	额部正常，稍用力闭眼完全，口角轻度不对称
Ⅲ级	中度功能异常	明显的面肌无力，但无面部变形，联带运动明显或半面痉挛	面部对称，肌张力正常	额部减弱，用力后闭眼完全，口角最大力轻度不对称
Ⅳ级	中重度功能异常	明显的面肌无力和/或面部变形	面部对称，肌张力正常	额部无，闭眼不完全，口角用最大力后不对称
Ⅴ级	重度功能异常	仅有几乎不能察觉的面部运动	面部不对称	额部无，闭眼不完全，口角轻微运动
Ⅵ级	完全麻痹	无运动

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