Transient Facial Nerve Palsy in Aviation
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Transient Facial Nerve Palsy in Aviation. / Bloch, Sune Land; Hertz, Jonas; Klokker, Mads.
I: Aerospace Medicine and Human Performance, Bind 94, Nr. 5, 2023, s. 404-408.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Transient Facial Nerve Palsy in Aviation
AU - Bloch, Sune Land
AU - Hertz, Jonas
AU - Klokker, Mads
N1 - Funding Information: Financial Disclosure Statement: The authors have no competing interests to declare Publisher Copyright: © by the Aerospace Medical Association, Alexandria, VA.
PY - 2023
Y1 - 2023
N2 - INTRODUCTION: Facial nerve palsy has been observed sporadically by aviation medicine doctors in recent years. We present two case reports of patients with the rare condition of facial nerve palsy occurring during aviation, along with a review of the literature, an overview of the phenomenon and the described symptoms of the cases. PubMed® including Medline® was searched using the terms nerve palsy and aviation with no restriction. In addition, two new cases of recurrent nerve palsy are described. CASE REPORTS: We describe two case reports: A 20-yr-old woman reported recurrent transient left-sided facial nerve palsy with increased duration and intensity on four subsequent flights, and a 35-yr-old woman who reported a left-sided transient facial nerve palsy 20 min after ascent. DISCUSSION: Included in the systematic review were 17 studies. Only case report studies were found. Including the two cases of facial nerve palsy described in this article, the reviewed studies represent 23 cases of peer-reviewed facial baro-palsy in aviation (ages 10 to 62 yr old). Having baro-palsy symptoms during flight is a rare condition, and the mechanism is not well understood. Some typical characteristics and possible mechanisms are discussed. PE tube insertion of the tympanic membrane has been found to be an effective treatment; however, further studies are needed.
AB - INTRODUCTION: Facial nerve palsy has been observed sporadically by aviation medicine doctors in recent years. We present two case reports of patients with the rare condition of facial nerve palsy occurring during aviation, along with a review of the literature, an overview of the phenomenon and the described symptoms of the cases. PubMed® including Medline® was searched using the terms nerve palsy and aviation with no restriction. In addition, two new cases of recurrent nerve palsy are described. CASE REPORTS: We describe two case reports: A 20-yr-old woman reported recurrent transient left-sided facial nerve palsy with increased duration and intensity on four subsequent flights, and a 35-yr-old woman who reported a left-sided transient facial nerve palsy 20 min after ascent. DISCUSSION: Included in the systematic review were 17 studies. Only case report studies were found. Including the two cases of facial nerve palsy described in this article, the reviewed studies represent 23 cases of peer-reviewed facial baro-palsy in aviation (ages 10 to 62 yr old). Having baro-palsy symptoms during flight is a rare condition, and the mechanism is not well understood. Some typical characteristics and possible mechanisms are discussed. PE tube insertion of the tympanic membrane has been found to be an effective treatment; however, further studies are needed.
KW - alternobaric facial paresis
KW - Eustachian tube dysfunction
KW - facial baroparesis
KW - facial nerve canal dehiscence
KW - ischemic neuropraxia
U2 - 10.3357/AMHP.6097.2023
DO - 10.3357/AMHP.6097.2023
M3 - Journal article
C2 - 37069760
AN - SCOPUS:85152693060
VL - 94
SP - 404
EP - 408
JO - Aerospace medicine and human performance
JF - Aerospace medicine and human performance
SN - 2375-6314
IS - 5
ER -
ID: 373667049