Stellate Gnaglion Block in Refractory Bell's Palsy
Study Details
Study Description
Brief Summary
Idiopathic facial nerve palsy (Bell's palsy) is caused by damage to the facial nerve at any site of the peripheral branches after the facial nucleus.Stellate ganglion block is inteneded to increase blood flow and promotes nerve regeneration.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
the conventional systemic corticosteroid treatment for acute peripheral facial nerve palsy in patients can induce hyperglycemia, and an alternative local therapy may be necessary and some time may ve ineffective.
Our purpose in this study is to evaluate therapeutic effects of stellate ganglion block (SGB) on idiopathic persistant facial nerve palsy.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: Stellate ganglion block Patients underwent a stellate-ganglion block at the anterolateral aspect of the C6 vertebra. After local analgesia (lidocaine 2%), a 22-gauge Quincke needle was placed in the anterolateral aspect of the C6 vertebral body. When the needle contacted the bone, it was drawn back 1 mm. 5 mL of 0·5% ropivacaine was subsequently injected next to the stellate ganglion to produce a sympathetic block.The effect of the stellate-ganglion block on the sympathetic nervous system was confirmed by the presence of Horner's syndrome (ie, facial anhydrosis, enophthalmos, ptosis, swelling of the lower eyelid, miosis, and blood-shot conjunctiva), and an increase in the temperature of the right hand of at least 2°F from baseline. |
Procedure: Stellate Ganglion Block Group
Patients underwent a stellate-ganglion block at the anterolateral aspect of the C6 vertebra. After local analgesia (lidocaine 2%), a 22-gauge Quincke needle was placed in the anterolateral aspect of the C6 vertebral body. When the needle contacted the bone, it was drawn back 1 mm. 5 mL of 0·5% ropivacaine was subsequently injected next to the stellate ganglion to produce a sympathetic block.The effect of the stellate-ganglion block on the sympathetic nervous system was confirmed by the presence of Horner's syndrome (ie, facial anhydrosis, enophthalmos, ptosis, swelling of the lower eyelid, miosis, and blood-shot conjunctiva), and an increase in the temperature of the right hand of at least 2°F from baseline.
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No Intervention: Conventional Mecobalamin Tablets oral Mecobalamin Tablets tid-8 |
Outcome Measures
Primary Outcome Measures
- House Brackmann grading scale [Baseline ,change from baseline House-Brackmann at 7th day,one month,two month, three month]
The House-Brackmann scale is a nerve grading system, It is used to characterize the severity of a facial paralysis patient's symptoms. Grade I : 100% functioning Grade VI : 0% function
Secondary Outcome Measures
- Likert scale [before intervention , and directly after intervention]
Likert scale (Patients' satisfaction) is typically a five; 1 =strongly dis-satisfied and 5= strongly satisfied
Eligibility Criteria
Criteria
Inclusion Criteria:
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Diagnosed by clinical and neurological assessment as one-sided idiopathic facial palsy
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Age 18 to 60
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ASA Ⅰ~Ⅲ
Exclusion Criteria:
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diabetic
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coagulation dysfunction
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mental or cognitive dysfunclion
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allergy to injected medication
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Emad Zarief Kamel Said | Assiut | Egypt | 71111 |
Sponsors and Collaborators
- Assiut University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- IRB009999