Bell's palsy(idiopathic facial paralysis) is characterized by the sudden onest of facial muscle weakness or paralysis without specific causes. Bell's palsy is usually innocuous and spontaneous recovery within about 12 weeks but often the duration
of
recovery of facial muscle function is very long, and it is very serious condition to patients bacause of cosmetic problems and psychological distress. In 1952, Dr. Swan reported the treatment of the facial palsy with stellate ganglion block. And
Dr.
Brackman(1974) also reported the therapeutic effects of stellate gagnlision block in patients with Bell's palsy. In 1979, Dr. Wakasugi introduce the "Facial Palsy Score" and classified the degree of paralysis of facial muscle.
I investigated the effect of stellate ganglion block in 66 Bell's palsy patients with the "Facial Palsy Score" from September 1993 to March 1994 at pain clinics of Chung-Ang University Yong-San Hospital.
@ES Results are follows
@EN 1. Sexual difference in incidence of facial palsy was not noted.
2. In age, the onset of facial palsy was noted in all age groups, but 6th decades of age group were high incidence and 7th decade and 5th decades were followed.
3. There was no difference of incidence of facial palsy n right and left side of face.
4. Prodromal symptom of facial palsy were noted in 25.5% of patients, the symptom were periauricular pain, dizziness, hearing difficulty, visual difficulty, and nausea.
5. The mean durations from the time of development of facial palsy to came the pain clinics were about 3 1/2 months.
6. At first time to visit to the pain clinics. Lower than 30 of Facial Palsy Score was noted in 84.8% of patients, but after the 5 times of stellate ganglion ganglion block it was decreased to 66.7%, and after 30times of SGB only 15.4% of
patients
were
below than 30.
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