Methods for optimizing the treatment of postoperative paresis of mimic muscles in patients with benign neoplasms of the salivary glands

Written by 22-03-2018

  UDK: 616.316–006–06:616.89–008.437–009.11–08 | Pages: 43–45 | Full text PDF | Open PDF 

Objective. The study objective is to optimize the complex therapy of postoperative complications in patients with benign neoplasms of the salivary glands using reflexotherapy, hirudotherapy and drug treatment.
Methods. The observation included 70 people aged 18–86 (42 women and 28 men) with paresis of the facial nerve after operative treatment of benign neoplasms of the salivary glands. Patients who received drug therapy (33 patients) formed the 1st (control) group, patients who received complex treatment (37 people) – the 2nd (main) group. In complex treatment, in addition to medications, there were methods of acupuncture and hirudotherapy.
Results. According to the electromyography, the amplitude of the M-response in the patients of the main group, in contrast to the control group, significantly increased one month after the initiation of therapy. The magnitude of the duration of the M-response in the main group significantly decreased after a month, and in the control group practically did not change during this period. In the patients of the main group, in a month there were no disturbances in the functions of facial muscles at rest and with arbitrary movements, pathological involuntary movements and syncopeesis. The symmetry of the face corresponding to the morphophysiological features of the individual was restored. The rehabilitation time was up to 6 months in the control group. Conclusios. The study showed the undeniable advantages of a comprehensive approach using acupuncture and hirudotherapy, as a supplement to basic medical treatment, in patients operated on for benign salivary glands.

Links to authors:

A.M. Kovalevskiy1, A.A. Bocharnikov2, 3
1 Military and Medical Academy named after S.M. Kirov (6 Akademika Lebedeva St. Saint Petersburg 194044 Russian Federation),
2 Primorskiy Center of Eye Microsurgery (100e Borisenko St. Vladivostok 690080 Russian Federation),
3 Pacific State Medical University (2 Ostryakova Ave. Vladivostok 690002 Russian Federation)

1. Paches A.I. Tumors of the salivary glands // Paches A.I. Tumors of the head and neck. M.: Medicine, 2004. P. 222–249.
2. Andreasen S. Pleomorphic adenoma of the parotid gland 1985– 2010: A Danish nationwide study of incidence, recurrence rate, and malignant transformation // Head & Neck. 2016. Vol. 38, No. 1. Р. 1364–1369.
3. Bittar R.F. Facial paralysis after superficial parotidectomy: analysis of possible predictors of this complication // Brazilian Journal of Otorhinolaryngology. 2016. Vol. 82. No. 4. Р. 447–451.
4. Fukushima M., Mamoru M., Tadashi K. Extracapsular dissection: minimally invasive surgery applied to patients with parotid pleomorphic adenoma // Acta Otolaryngologica. 2011. Vol. 131, No. 6. Р. 653–659.
5. Klintworth N. Postoperative complications after extracapsular dissection of benign parotid lesions with particular reference to facial nerve function // The Laryngoscope. 2010. Vol. 120, No. 3. Р. 484–490.
6. Rosler K.M., Magastris M.R., Glocker F.X. [et al.]. Electrophysiological characteristics of lesions in facial palsies of different etiologies. A study using electrical amd magnetic stimulations techniques // Electroenceph. Clin. Neurophysiol. 1995. Vol. 97. P. 355–343.
7. Whitaker I.S. The efficacy of medicinal leeches in plastic and reconstructive surgery: A systematic review of 277 reported clinical cases // Microsurgery. 2012. Vol. 32, No. 3. Р. 240–250.
8. Zhang X., An G.-H., Song M.-J. Penetration acupuncture at expression muscle for 12 cases of severe peripheral facial paralysis // Zhongguo Zhen Jiu. Chinese acupuncture & moxibustion. 2013. Vol. 33, No. 11. Р. 1048–1049.


Founded in 1997  |  Editions in a year: 4, Articles in one issue: 30 |  ISSN of print version: 1609-1175  |  Ind.: 18410 (Agency "Rospechat’")  |  Edition: 1000 c.