Сlinical Course of Severe Forms of Facial Nerve Neuropathy in Comorbid Conditions

Abstract

Pathology of the facial nerve makes 30 cases per 100 000 of the population a year, regardless of gender and ethnicity. In 70% of cases, the course and prognosis of idiopathic neuropathy of the facial nerve (NFN) are favorable. However, in 30% of the patients, health recoveryis incomplete, with the formation of contracture of the facial muscles and development of pathological synkinesis. Many patients with NFN have chronic somatic pathology, with cardiovascular diseases being the most common. We evaluated the clinical and neurological criteria for the formation of facial nerve contractures at different stages of the disease in patients with comorbid conditions, for which there were surveyed50 (100 ± 0.0%) patients with NFN, 22 of them (44.0 ± 7.0%) patients with NFN without somatic pathology, 28 (56.0 ± 7.0%) patients are comorbid and have coronary artery disease, diabetes and obesity of 2nd – 3rd stage. The work studied the psycho-emotional background of patients, conducted questionnaire assessment of the quality of life. It has been proven that the clinical course of facial nerve neuropathy is exacerbated by the presence of comorbidities, as well as complications of NFN being a cause of defect in the face, can be the main cause of the development of psycho-emotional changes and decrease in the patient’s quality of life.