Effect of hyperbaric oxygen on the recovery of facial nerve function after vestibular neuroma surgery
10.3760/cma.j.cn311847-20191118-00324
- VernacularTitle:高压氧对前庭神经瘤术后面神经功能恢复的疗效
- Author:
Zheng LI
1
;
Xiaoping TANG
1
;
Tao ZHANG
1
;
Hua PENG
1
;
Ping XIONG
1
;
Chao HU
1
;
Binbin YANG
1
Author Information
1. 637000 四川省南充，川北医学院附属医院神经外科
- Publication Type:Journal Article
- Keywords:
Hyperbaric oxygen;
Vestibular neuroma;
Microsurgery;
Facial nerve
- From:
Chinese journal of nautical medicine and hyperbaric medicine
2020;27(5):543-546
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of hyperbaric oxygen on the recovery of facial nerve function after vestibular neuroma surgery.Methods:We collected the medical records of 97 patients who were admitted to the Affiliated Hospital of North Sichuan Medical College from January 2014 to June 2018 and were diagnosed with postoperative unilateral facial nerve dysfunction after the microscopic resection of vestibular neuroma. They were divided into 4 clinical stages of vestibular neuroma: 18 patients with stage 1 vestibular neuroma, 29 patients with stage 2 vestibular neuroma, 47 patients with stage 3 vestibular neuroma, and 3 patients with stage 4 vestibular neuroma (they were not included in the statistical analysis due to the limited number of such patients). Patients in each stage were further divided into hyperbaric oxygen treatment group and control group according to whether they were treated with hyperbaric oxygen after surgery. The facial nerve functions of each group were graded by the Sunnybrook Facial Grading System.Results:There was no significant difference in facial nerve scores between the hyperbaric oxygen treatment group (76.18±13.73) and the control group (72.14±11.35) in the patients with stage 1 vestibular neuroma ( P>0.05). There was a significant difference in facial nerve scores between the hyperbaric oxygen treatment group (74.13±12.59) and the control group (58.77±17.84) in the patients with stage 2 vestibular neuroma ( P<0.05). There was also a significant difference in facial nerve scores between the hyperbaric oxygen treatment group (67.86±14.51) and the control group (54.37±14.76) in the patients with stage 3 vestibular neuroma( P<0.05). Conclusion:Hyperbaric oxygen therapy has no effect on the recovery of postoperative facial nerve function of patients with stage 1 vestibular neuroma. The facial nerve function is easily injured by the surgeries for stage 2 and stage 3 vestibular neuroma. Hyperbaric oxygen therapy has a significant effect on the recovery of postoperative facial nerve function.
