面神经减压治疗周围性面瘫32例临床分析.pdfVIP

2009 1 23 1 ( 2 1 ( 32 1 1 1 1 沈志森 张宇园 赵侃 沈毅 [ ] : : 32 CT , , 0 . 5~ 2 , HB : 32 17 ( 2 , 15 ) , 2 13 , HB ! ~ ∀ 11 , 84 . 6% ; 3 3 , ∀ 2 # 1 ; 8 1 , ∃ 2 ( ) , 2 3 ∀ # 13 1 , ! ∀ # 823 : , , 2 [ ] ; ; [ ] R762 [ ] A [ ] 100 117 81( 2009) 01002 10 3 Peripheral facial paralysis in temporal bone trauma and cholesteatoma otitis media SH EN Zhisen ZH A N G Yuy uan ZH A O K an SH EN Yi ( Depar men of O o laryngolo gyH ead and N eck Sur gery, L ihuili H ospi al of M edical Cen re, N ing bo, 315041, China) Co rresponding au hor : SH EN Zhisen( Email: sz s668@ sina. com) Abstract Objective: T o inv es iga e in o he surg ical approaches and clinical cur a iv e eff ec of per ipher al f acial ner ve par aly sis in diff eren cau ses and injury lo ca ion . Method:T hir y w o cases o f peripheral f acial par aly sis w er e rea ed w i h selec ive f acial nerve decompressio n via diff eren surg ical appr oaches. A f er 0 . 5 y ear o 2 y ears fo llow up , he r ecover ed func io ns of f acial nerve w er e j udged by H ou se and Brackmann g rading sys em . Result:I n all pa ien s, 17 cases of peripheral f acial paralysis cau sed by r auma w er e underw en f acia l nerv e decompressio n in w o w eeks, 11 cases r eached deg r ee ! ( 84 . 6% ) accor ding o Ho usebrackmann( HB) f acial nerve func io n scores, 3 cases w er e rea ed in he hird w eek , 2 cases reached degr ee ∀ and o her 1 cases r eached deg ree #. One pa ien w as rea ed af er 8 w eeks and f acial nerve func ion scor es only reached deg ree . T hir een cases of o omas oidi is in m iddle ear w ere under w en f aci