METHOD FOR SELECTING THE TACTICS OF TREATMENT OF PATIENTS WITH ISOLATED LESION OF THE BORDERAL MANIBORDIAL BRANCH OF THE FACIAL NERVE Russian patent published in 2023 - IPC A61B5/262 A61B5/395 A61B5/388 A61B17/24 A61H23/06 

FIELD: medicine; neurology; functional diagnostics; rehabilitation; surgery.

SUBSTANCE: clinical examination of the patient is carried out, including an assessment of his neurological status and functional diagnostics of the facial muscles. Stimulation electroneuromyography (ENMG) is performed, followed by needle myography (IMG). The treatment is prescribed. The clinical examination of the patient includes an assessment of the function of the depressor lip muscle (MONG) and the mental muscle (PM). Electroneuromyography (ENMG) is conducted to exclude the involvement in the pathological process of other branches of the LN, in addition to the CNV LN. Needle myography (IMG) of the lower lip depressor muscle (MONG), chin muscle (PM) and orbicular muscle of the mouth is performed to confirm the isolation of the MONH and PM lesions. With IMG, the value of the maximum amplitude of the interference pattern (IP) is recorded for each of the studied muscles from the affected and healthy side of the face. The magnitude of the decrease in the maximum amplitude of the IP of the affected side relative to the healthy side is determined. When detecting a decrease in the amplitude of IP by 15% or more for MONH and PM, and a decrease in the amplitude of IP up to 15% for the orbicular muscle of the mouth, a conclusion is made about an isolated lesion of the CNV of the FN. In the case of a decrease in the amplitude of the PI of the affected side with IMG MONG by 90% or more compared to the healthy side, a decision is made on surgical treatment. With a decrease in the amplitude of the IP from 15 to 90%, a decision is made on conservative treatment using exercise therapy. With a decrease in the value of the IP amplitude by less than 15%, treatment is not recommended.

EFFECT: method makes it possible to choose the optimal tactics for treating patients with isolated lesions of the CLF of the FN, since it makes it possible to identify patients with a potential for a favorable outcome of the disease, as well as to identify patients at risk of an unfavorable outcome for timely surgical treatment.

3 cl, 41 dwg, 2 tbl, 6 ex