| 10例中耳和乳突术后迟发性面神经麻痹的临床观察 |
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| 引用本文： | 武文明 韩东一 王嘉陵 杨伟炎. 10例中耳和乳突术后迟发性面神经麻痹的临床观察[J]. 临床耳鼻咽喉头颈外科杂志, 2004, 18(4): 200-201 |
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| 作者姓名： | 武文明 韩东一 王嘉陵 杨伟炎 |
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| 作者单位： | 武文明（解放军总医院耳鼻咽喉-头颈外科,解放军耳鼻咽喉科研究所,北京,100853） 韩东一（解放军总医院耳鼻咽喉-头颈外科,解放军耳鼻咽喉科研究所,北京,100853） 王嘉陵（解放军总医院耳鼻咽喉-头颈外科,解放军耳鼻咽喉科研究所,北京,100853） 杨伟炎（解放军总医院耳鼻咽喉-头颈外科,解放军耳鼻咽喉科研究所,北京,100853） |
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| 摘 要： | 目的探讨中耳和乳突术后迟发性面瘫的病因、治疗及转归.方法对10例中耳、乳突术后迟发性面瘫进行诊断、治疗和预后观察,患者均采用激素、营养神经和扩血管药物及理疗等综合治疗.结果迟发性面瘫多发生于术后第4天左右.面神经功能Ⅱ～Ⅲ级,绝大部分病例在3周左右完全恢复,且无任何后遗症.结论慢性中耳炎中耳乳突术后迟发性面瘫的发生可能为局部面神经或鼓索神经微创伤引起局限性反应性水肿所致;也可能与并发单纯疱疹病毒感染有关.
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| 关 键 词： | 中耳炎 外科手术 面神经麻痹 |
| 文章编号： | 1001-1781(2004)04-0200-02 |
| 修稿时间： | 2003-08-08 |
The observation of delayed facial paralysis after middle ear and mastoid surgery:10 cases analysis |
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| WU Wenming HAN Dongyi WANG Jialing YANG Weiyan. The observation of delayed facial paralysis after middle ear and mastoid surgery:10 cases analysis[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2004, 18(4): 200-201 |
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| Authors: | WU Wenming HAN Dongyi WANG Jialing YANG Weiyan |
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| Affiliation: | Department of Otolaryngology-Head and Neck Surgery, General Hospital of PLA, Institute of PLA Otolaryngology, Beijing, 100853, China. |
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| Abstract: | Objective:To analyze the cause,treatment and prognosis of 10 cases(ten ears) of delayed facial paralysis(DFP) after chronic otitis media surgery.Method:Ten cases of DFP after chronic otitis media surgery were reviewed for the causes, treatments and their prognosis.In all 10 cases,glucocorticoid,antibiotics,neur otrphic and blood vessel dilating agents were prescribed and physiotherapy was olso applied.Result:After 3 weeks,full recovery was found in all cases, showing the benign prognosis of DFP after chronic otitis media surgery.Conclusion:The local edema of facial nerve in response to minor surgical procedures is speculated to be the primary cause of DFP, and it may also be accelerated by the infections of herpes simplex subsequently. |
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| Keywords: | Otitis media Surgery operatire Facial paralysis |
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