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面神经减压治疗周围性面瘫32例临床分析
引用本文:沈志森,张宇园,赵侃,沈毅. 面神经减压治疗周围性面瘫32例临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2009, 23(1): 21-23
作者姓名:沈志森  张宇园  赵侃  沈毅
作者单位:宁波市医疗中心李惠利医院耳鼻咽喉-头颈外科,浙江,宁波,315040
摘    要:目的:探讨面神经减压治疗周围性面瘫的临床疗效。方法:对32例不同原因所致周围性面瘫患者行CT扫描,根据扫描结果行不同进路的面神经减压手术,术后随访0.5~2年,按H-B分级法评判面神经功能恢复程度。结果:32例中17例颞骨骨折面瘫(V级2例,Ⅵ级15例),伤后2周内手术者13例,术后面神经功能恢复H-B Ⅰ~Ⅱ级11例,达84.6%;伤后3周手术者3例,恢复Ⅱ级2例、Ⅲ级1例;伤后8周手术者1例,仅Ⅳ级恢复。2例医源性面瘫(Ⅵ级)患者,分别在伤后2周和3周手术并为Ⅱ级和Ⅲ级恢复。13例中耳乳突病变者均在1周内手术,Ⅰ、Ⅱ、Ⅲ级恢复者分别为8、2、3例。结论:选择合适的术式及时机,绝大多数外伤性或中耳胆脂瘤等所致周围性面瘫患者经面神经减压术均能取得良好效果,外伤性面瘫手术尽量在伤后2周内进行。

关 键 词:面神经麻痹  减压术  胆脂瘤中耳炎

Peripheral facial paralysis in temporal bone trauma and cholesteatoma otitis media
SHEN Zhisen,ZHANG Yuyuan,ZHAO Kan,SHEN Yi. Peripheral facial paralysis in temporal bone trauma and cholesteatoma otitis media[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2009, 23(1): 21-23
Authors:SHEN Zhisen  ZHANG Yuyuan  ZHAO Kan  SHEN Yi
Affiliation:Department of Otolaryngology-Head and Neck Surgery;Lihuili Hospital of Medical Centre;Ningbo;315041;China
Abstract:Objective:To investigate into the surgical approaches and clinical curative effect of peripheral facial nerve paralysis in different causes and injury location.Method:Thirty-two cases of peripheral facial paralysis were treated with selective facial nerve decompression via different surgical approaches. After 0.5 year to 2 years' follow up,the recovered functions of facial nerve were judged by House and Brackmann grading system. Result:In all patients,17 cases of peripheral facial paralysis caused by trauma...
Keywords:facial paralysis  injury fractures  cholesteatoma otitis media  
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