Middle ear and mastoid surgery in 11 cases of delayed facial paralysis Nursing.docVIP

 PAGE \* MERGEFORMAT 10 Middle ear and mastoid surgery in 11 cases of delayed facial paralysis Nursing Author: Wang Dongfang Jiang Wenlan Ying Guang Li Abstract In this paper, to explore and summarize middle ear and mastoid surgery observation of delayed facial paralysis and care. Concluded that: The middle ear and mastoid surgery need to closely monitor the availability of delayed postoperative facial paralysis, early detection, early treatment and care can make a good recovery of facial paralysis. Keywords: otitis media care facial paralysis Delayed appearance of facial paralysis affecting face, causing eye disease, painful for patients. I Division of the middle ear and mastoid surgery in 11 cases of delayed facial paralysis in patients with active treatment in time, at the same time to ensure effective nursing interventions in 11 patients fully recovered. Nursing will now be reported as follows. 1 Data and methods I Section 1.1 Summary of clinical data in February 2004 ~ October 2008 admitted to chronic suppurative otitis media postoperative delayed facial paralysis in 11 patients, 5 males and 6 females; aged 22 to 61 years old, with an average 38.5 years of age. There was no history of preoperative facial paralysis and mastoid CT examination no abnormal facial nerve canal. Routine middle ear surgery under general anesthesia, 10 cases of modified radical mastoidectomy tympanoplasty Canada, a routine radical mastoidectomy; both exploration and full of facial nerve bony facial ridge with low wear. Patients were found to have five cases of facial nerve canal with bone destruction, both in the horizontal section of part of the facial nerve exposure, but the sheath integrity, and no edema. Facial nerve canal no obvious lesions in 6 cases. Operation in cutting the chorda tympani nerve in 3 cases. All patients had surgery process smoothly, and no significant intraoperative facial nerve injury, surgery day, no facial paral