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面神经减压术治疗早期颞骨外伤性周围性面瘫

王庭阔 刘荣 聂智樱 张伟强 杨党卫 李建兴

局解手术学杂志2017,Vol.26Issue(5):334-336,3.
局解手术学杂志2017,Vol.26Issue(5):334-336,3.DOI:10.11659/jjssx.01E017036

面神经减压术治疗早期颞骨外伤性周围性面瘫

Facial nerve decompression in treatment of patients with early peripheral traumatic facial paralysis

王庭阔 1刘荣 2聂智樱 1张伟强 1杨党卫 1李建兴1

作者信息

  • 1. 广东医科大学附属深圳龙华中心医院耳鼻喉科,广东 深圳 518110
  • 2. 广东医科大学附属深圳龙华中心医院保健科,广东 深圳 518110
  • 折叠

摘要

Abstract

Objective To explore the effect of facial nerve decompression via mastoid-epitypanum approach on the treatment of early peripheral traumatic facial paralysis caused by temporal bone fracture.Methods The data of 21 patients with early peripheral traumatic facial paralysis caused by temporal bone fracture in our hospital from October 2011 to June 2016.The facial nerve electrogram and the blink reflex of the injured facial nerve of 21 patients who treated facial nerve decompression via mastoid-epitypanum approach were compared before and after operation.The degree of facial nerve function recovery was evluated by H-B grading method.Results The facial nerve function of all patients had improved in different degrees,85.7% patients recovered to Ⅰ~Ⅱ level.Compared with those before operation,the latency,amplitude and latent period of blink reflex of the ipsilateral facial electroneurography were significantly improved(P<0.05).Conclusion The facial nerve decompression has good effect in the treatment of early peripheral traumatic facial paralysis.

关键词

面神经麻痹/面神经减压术/面神经电图/瞬目反射值/颞骨外伤

Key words

facial nerve palsy/facial nerve decompression/facial electroneurography/blink reflex value/temporal bone fracture

分类

医药卫生

引用本文复制引用

王庭阔,刘荣,聂智樱,张伟强,杨党卫,李建兴..面神经减压术治疗早期颞骨外伤性周围性面瘫[J].局解手术学杂志,2017,26(5):334-336,3.

基金项目

深圳市龙华新区2014年社会公益科研项目(20140917A1030034) (20140917A1030034)

深圳市科技计划项目(JCYJ20140415091613069) (JCYJ20140415091613069)

局解手术学杂志

OACSTPCD

1672-5042

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