由大气压变化引起的面部和三角神经神经病变:一个元分析
Oded Ben-Ari1, Yehuda Zadik2, Idan Nakdimon3
1Department of Military Medicine, Faculty of Medicine, The Hebrew University, Jerusalem, Israel; The Israeli Air Force Aeromedical Center, Tel-Hashomer, Ramat Gan, Israel; Israeli Defense Forces Medical Corps, Tel-Hashomer, Ramat Gan, Israel; The Adelson School of Medicine, Ariel University, Ariel, Israel.
American journal of otolaryngology
|May 1, 2024
概括
飞行或潜水期间气压变化的面部巴罗创伤可能会导致第五 (CN5) 和第七 (CN7) 神经的罕见神经病变. 飞行和潜水是同等的风险因素,CN7参与更常见,但可能是由于报告偏差.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 航空航天医学 航空航天医学
背景情况:
- 飞行或潜水期间气压变化可能导致面部巴罗创伤.
- 第五 (三) 和第七 (面部) 神经的神经病变是一种罕见但严重的表现.
- 了解这些巴隆性神经病的危险因素对于预防和管理至关重要.
研究的目的:
- 分析与三角神经 (CN5) 和面部神经 (CN7) 的巴隆性神经病变相关的风险因素.
- 研究与大气压变化相关的CN5和CN7神经病变患者的特征和结果.
主要方法:
- 在PubMed和Cochrane图书馆数据库中进行了系统的文献搜索.
- 包括原始病例报告和详细介绍CN5或CN7神经病变的系列在飞行,潜水或登山场景中.
- 评估的变量包括患者的人口统计,病史,环境因素,症状,治疗和康复.
主要成果:
- 总共有67名患者超过125次发作被确定,平均年龄为33.5岁,男性占主导地位.
- 飞行和潜水同样被代表为巴隆性神经病变的致病环境.
- CN5参与 (77.6%) 呈现耳朵疼痛和面部麻木,后者与耳鼻喉科病史有关. 在CN7参与 (88.1%) 的情况下,飞行 (86.7%) 和潜水 (42.3%) 的自发解决率较高.
结论:
- 飞行和潜水对三神经和面部神经巴罗创伤构成同等风险.
- 虽然CN7参与的报道更频繁,但这可能受到出版偏差的影响.
- 耳鼻喉病史被认为是发展面部麻木的危险因素.
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