EPIDEMIOLOGIC CHARACTERISTICS OF FACIAL NERVE DISEASES IN A METROPOLIS ACCORDING TO THE UNIFIED MEDICAL CITY SYSTEMS
Abstract
Treatment of patients with diseases of the facial nerve (FN) is an important medical and social problem. It is highly relevant, but there are no recent epidemiological data on the prevalence of movement disorders in the facial area. An analysis of the epidemiological characteristics of facial nerve diseases is presented. The study conducted was based on the data taken from the Unified Medical Information and Analytical System (UMIAS) for 2019–2021. Cases of the first visit of a patient with a disease code group G51 were analyzed. 95 % of the registered population of the metropolis is connected to the electronic system of the local polyclinics , therefore the number of patients with diseases of the facial nerve was counted per 100,000 attached population for each nosological unit separately in two categories — adults and children. The incidence of the idiopathic form of facial neuropathy in the adult population is 15.5 people per 100,000, symptomatic forms — 13.7, clonic hemifacial spasm — 1.2, Ramsay Hunt syndrome — 0.6, Rossolim–Malkersson– Rosenthal syndrome — 0.1. The incidence of the facial myokymia is 0.7 people per 100,000 population. The median age of adult patients was 40–50 years, women prevailed. The incidence among children and adolescents of the idiopathic form of facial nerve neuropathy is 9.6 people per 100,000, symptomatic forms — 11.8, Ramsay Hunt syndrome — 0.2. The median age in the group of children and adolescents varied depending on the pathology form from 8 to 16 years; no differences associated with gender were defined. An analysis of the epidemiology of FN diseases in Moscow for 2019–2021 was carried out. This became possible after the implementation of the UMIAS system. The UMIAS system opens up the possibility of obtaining reliable epidemiological data and can be offered as a single centralized mechanism for collecting and managing data.
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