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Ultrasound-Guided Stellate Ganglion Block With Botulinum

Not Applicable
Completed
Conditions
Change From Baseline House-Brackmann
Interventions
Drug: triamcinolonacetonide
Registration Number
NCT05099835
Lead Sponsor
Assiut University
Brief Summary

the local stellate ganglion block with bupivacaine and corticosteroid treatment for acute peripheral facial nerve palsy in patients can induce hyperglycemia, and an alternative local therapy may be necessary and some time may ve ineffective. Our purpose in this study is to evaluate therapeutic effects of stellate ganglion block (SGB) Botulinum Toxin on referactory facial nerve palsy

Detailed Description

:Idiopathic facial nerve palsy (Bell's palsy) is caused by damage to the facial nerve at any site of the peripheral branches after the facial nucleus.Stellate ganglion block is inteneded to increase blood flow and promotes nerve regeneration. the local stellate ganglion block with bupivacaine and corticosteroid treatment for acute peripheral facial nerve palsy in patients can induce hyperglycemia, and an alternative local therapy may be necessary and some time may ve ineffective. Our purpose in this study is to evaluate therapeutic effects of stellate ganglion block (SGB) Botulinum Toxin on referactory facial nerve palsy

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Diagnosed by clinical and neurological assessment as one-sided idiopathic facial palsy
  • Age 18 to 60 •-ASA i-II
Exclusion Criteria
  • Exclusion Criteria:

    • diabetic
    • coagulation dysfunction
    • mental or cognitive dysfunclion
    • allergy to injected medication

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Botulinum ToxinBotoxinjected 10 mL of 0.1% bupivacaine with 100 Botox units (BOTOX®, Allergan Inc., Irvine, CA, USA)
steroidtriamcinolonacetonideinjected 10 mL of 0.25% bupivacaine with triamcinolonacetonide 4 mg/ml
Primary Outcome Measures
NameTimeMethod
Change from Baseline House-Brackmann: Baseline ,change from baseline House-Brackmann at 7th day,one month,two month, three month

Change from Baseline House-Brackmann

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Emad Zarief Kamel Said

🇪🇬

Assiut, Egypt

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