中耳乳突手术并发面神经麻痹23例临床分析

目的：探讨中耳乳突手术引起面瘫的原因、预防和治疗方法。方法：对１９７６～１９９１年的１０３２例行中耳乳 手术并发面神经麻痹的２３例进行回顾性分析,结果：２３例均匀不完全性周围性面瘫,作面神经减压术１例,治愈６例,好转４例,无效３例,保守治疗１０例,治愈５例,好转３例,无效２例。结论：即发型面瘫在排除麻醉药所致外,就意味着神经损伤,应立即探查神经并减压,迟发型面瘫首选保守治疗,预后较好,１个月后仍无效者,再手术。

Clinical analysis of facial nerve palsy in middle ear and mastoid surgery in 23 cases

Objective:To investigate the cause, the prevention and the therapy of facial nerve palsy(FNP) which induced by the operation of middle ear and mastoid surgery. Method:A series of 1032 cases undergone middle ear and mastoid surgery were reviewed between 1976 and 1991.Result:23 cases FNP were identified.All were incomplete and peripheral.13 cases of them were performed decompression of facial nerve. 6 cases were cure, 4 cases on the mend and 3 cases no effect after operation. 10 cases were treated by conservation, 5 cases were cure, 3 cases on the mend and 2 cases no effect. Conclusion:If the facial paralysis occurs during the operation,which means that facial nerve is damaged, except hard stuff reason.Exploration should be done at once.If facial paralysis occurs later,conservative therapy should be selected at first.If facial paralysis is still not on the mend 1 month of postoperation,one should be done exploration of facial nerve.