中华耳科学杂志Issue(3)：415-418,4.DOI:10.3969/j.issn.1672-2922.2014.03.015
面神经减压治疗周围性面瘫的临床分析
Facial Nerve Decompression for Peripheral Facial Paralysis
聂智樱 1毛弈韬 1彭安全 1谢鼎华 1伍伟景1
作者信息
- 1. 中南大学湘雅二医院耳鼻咽喉头颈外科 长沙410011
- 折叠
摘要
Abstract
Objective To report efficacy of facial nerve decompression in treating peripheral facial paralysis of differ-ent causes. Methods The clinical data of 37 cases of peripheral facial paralysis, and surgical approaches as well as efficacy of facial nerve decompression were retrospectively analyzed. Results Causes of facial paralyhsis included temporal bone fracture, post-operative infection, middle ear cholesteatoma, facial neuroma, acoustic neuroma and middle ear carcinoma, etc. Among the 37 cases, 25 demonstrated satisfactory facial nerve recovery of House-Brackmann grade I-II during the fol-low-up period of three months to four years. The facial nerve recovery after decompression in patients with facial paralysis duration of less than two months was obviously better than in patients with facial paralysis duration of greater than two months. Conclusions Facial nerve decompression is an effective method for peripheral facial paralysis. Early decompression in patients with dissatisfied recovery during observation is recommended.关键词
周围性面瘫/面神经减压/耳外科手术Key words
Peripheral facial nerve paralysis/Facial nerve decompression/Ear microsurgery分类
医药卫生引用本文复制引用
聂智樱,毛弈韬,彭安全,谢鼎华,伍伟景..面神经减压治疗周围性面瘫的临床分析[J].中华耳科学杂志,2014,(3):415-418,4.
