摘要
为探讨外伤性面瘫适当的处理方法，回顾了２７例经手术治疗的外伤性面瘫。成人手术采用局部麻醉，经乳突、上鼓室进路。术后随访半年～２年，平均１．７年。术中发现４例有２处以上损伤。损伤部位见于面神经水平段１１例次、膝状神经节周围及迷路段９例次、垂直段８例次。面瘫完全恢复２０例，Ⅱ级恢复２例，Ⅲ级恢复５例。就手术治疗适应证及进路进行了讨论，认为经乳突上鼓室进路可暴露膝状神经节及迷路段远端，对大多数病例已足够，其损伤较小，易为患者接受，但此进路不能暴露面神经出颅部，故少数病例仍需经颅中窝进路减压。
The paper reviews 27 cases of traumatic facial paralysis undergone surgical treatment. Most of the cases showed injuries to the horizontal and perigeniculate segments of the facial nerve. All cases have been followed up for 6 months to 2 years. Complete recovery occurred in 20 of the cases and partial recovery in 7 cases (Ⅱ in 2,Ⅲ in 5). Trans mastoid/attic approach was used which yielded exposure of the geniculate ganglion and distal part of the labyrinthine segment of the nerve. Indications and surgical approach were discussed.
出处
《中华耳鼻咽喉科杂志》
CSCD
1997年第3期171-173,共3页
Chinese Journal of Otorhinolaryngology
关键词
面神经麻痹
外伤性
外科手术
Facial paralysis Facial nerve Skull fracture
