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

Abstract

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 1^st (control) group, patients who received complex treatment (37 people) - the 2^nd (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.