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颞骨胆脂瘤手术的面神经保护和处理策略

Strategies for facial nerve protection and management in temporal bone cholesteatoma surgery
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摘要 颞骨胆脂瘤是一种常见的侵蚀性病变,主要累及颞骨,可引发多种颅外和颅内并发症,面瘫即为其中之一。颞骨胆脂瘤在治疗上需要手术切除,本文从颞骨胆脂瘤手术中面神经的保护、术中面神经损伤后的处理以及胆脂瘤并发面瘫的治疗等方面进行阐述。 Temporal bone cholesteatoma is a common invasive lesion affecting the temporal bone,leading to a series of extracranial and intracranial complications,with facial nerve paralysis being one.The treatment of temporal bone cholesteatoma typically requires surgical resection to prevent its complications.The article discusses the preservation of the facial nerve during temporal bone cholesteatoma surgery,the management of intraoperative facial nerve injury,and the treatment of cholesteatoma-associated facial paralysis.
作者 迟放鲁 贾贤浩 Chi Fanglu;Jia Xianhao(Department of Otolaryngology-Head and Neck Surgery,Eye and ENT Hospital of Fudan University,Shanghai Auditory Medical Center,National Health Commission Key Laboratory of Auditory Medicine,Shanghai 200031,China)
出处 《中华医学杂志》 北大核心 2025年第40期3597-3601,共5页 National Medical Journal of China
关键词 胆脂瘤 颞骨 面神经保护 术中监测 面神经减压 Cholesteatoma Temporal bone Facial nerve preservation Intraoperative monitoring Nerve decompression
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