胆脂瘤型中耳炎并发面瘫的术式选择

目的 :探讨手术治疗胆脂瘤型中耳炎并发面瘫的合理术式。方法 :对胆脂瘤型中耳炎并发周围性面瘫 35例行面神经减压 ,其中 32例行开放式乳突手术 ,3例行闭合式手术。结果 :行开放式乳突手术面神经减压者House BrackmannⅠ～Ⅱ级恢复 2 4例 ,Ⅲ～Ⅴ级恢复 8例 ;行闭合式手术者 ,面神经功能恢复较缓慢 ,2例Ⅱ级恢复 ,1例术后 8个月出现联带运动。结论 :尽早选用开放式乳突手术径路行颞骨内面神经减压 ,是治疗胆脂瘤型中耳炎合并面瘫的有效方法。

The treatment of facial nerve palsy related to cholesteatoma otitis media

OBJECTIVE: In order to investigate the operative treatment of facial nerve palsy which induced by cholesteatoma otitis media. METHOD: To analyse 35 postoperative cases with of cholesteatoma otitis media to accompany peripheral facial paralysis. Opened technique was performed in 32 cases, closed technique was performed in 3 cases. All of them were performed facial nerve decompression. RESULT: In opened technique group, the effect of postoperation reached House-Brackmann I-II degree in 24 patients (24/32), House-Brackmann III-V degree in 8 patients. In closed technique group, 2 patients reached House-Brackmann II degree, but they recoveryed slowly. CONCLUSION: Facial nerve decompression should be performed as long as the diagnosis was made, Mastoidectomy by using opened technique has satisfactory therapeutic effect.