中华耳科学杂志Issue(3)：426-428,3.DOI:10.3969/j.issn.1672-2922.2014.03.018
中耳手术医源性面瘫的处理
Management of Iatrogenic Facial Paralysis in Middle Ear Surgery
摘要
Abstract
Objective To report authors’experiences with iatrogenic facial paralysis in middle ear surgery, and discus its causes, clinical characteristics, treatments and prevention. Methods From 1995 to 2014, 45 cases of iatrogenic facial pa-ralysis associated with middle ear surgery in our hospital were included in this retrospective study, of which 41 were referrals from other hospitals. All of these cases received revision surgery and the results of exploration were analyzed, including the po-sition, pathological injury degree, and outcomes of the facial nerve damage. Results Facial nerve paralysis were found during or immediately after surgery in 44 cases. The damages of the facial nerve located in the posterior portion of the tympanic seg-ment in 18 cases (40%). Based on evaluation of damage degree, decompression was performed in 23 cases, partial facial nerve graft in 11 cases, and interposition facial nerve graft in 11 cases. Forty four cases were followed up for more than one year, and facial nerve function in 32 cases was better than HB-III one year after surgery. Conclusions Itrogenic facial paralysis is one of the serious complications of middle ear surgery, which is always identified during or immediately after surgery. The results of facial function were satisfactory if the facial nerve is explored and treated correctly at an time.关键词
医源性面瘫/中耳手术Key words
Iatrogenic facial paralysis/Middle ear surgery分类
医药卫生引用本文复制引用
韩月臣,徐磊,陈东,樊兆民,王海波..中耳手术医源性面瘫的处理[J].中华耳科学杂志,2014,(3):426-428,3.基金项目
国家自然科学基金（81271071）山东省科技发展计划 （）
