摘要
目的探讨中耳胆脂瘤累及面神经迷路段并发周围性面瘫病例的临床特征,经乳突入路施行迷路段面神经减压术治疗周围性面瘫的效果。方法回顾分析中耳胆脂瘤致周围性面瘫,胆脂瘤累及面神经迷路段患者4例,病史4周～3个月,House-Brackmann(H-B)面神经分级系统评分III～V级,均施行乳突改良根治术和面神经减压术(伴或不伴鼓室成形术)。结果术后随访3～6个月,H-B评分I～II级。结论及时经乳突入路施行迷路段面神经减压术,对治疗中耳胆脂瘤累及面神经迷路段所致周围性面瘫可取得满意效果。
OBJECTIVE To discuss the clinical features of patients with facial nerve paralysis caused by middle ear cholesteatoma involved labyrinthine segment.To investigate the outcomes of facial nerve decompression for labyrinthine segment by transmastoid approach.METHODS Four patients with facial nerve paralysis due to middle ear cholesteatoma involved labyrinthine segment were retrospectively reviewed.All patients accepted modified radical mastoidectomy and facial nerve decompression by transmastoid approach.Their disease courses were 4 weeks to 3 months.The initial grades of facial paralysis according to the House-Brackmann grading system were grade III to VI.RESULTS In the 3-6 months follow-up,the HouseBrackmann grading of all the patients were grade I to II.CONCLUSION Modified radical mastoidectomy and transmastoid approach facial nerve decompression in time can achieve a significant effect in patients with facial nerve paralysis involved labyrinthine segment due to middle ear cholesteatoma.
出处
《中国耳鼻咽喉头颈外科》
2012年第3期127-129,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
关键词
胆脂瘤
中耳
面神经
耳外科手术
Cholesteatoma
Middle Ear
Facial Nerve
Otologic Surgical Procedures
