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本组病例仅指外伤性面瘫而不包括因手术操作引起的面瘫。60—80％的外伤性面瘫经系统药物治疗后可恢复。对难治的病例则行手术治疗,指征为:临床检查面瘫明显;电检查结果神经功能恢复差。如患者合并传导性耳聋则应早期(第三周)手术。24例中女性14例、男性10例。平均年龄33 1/2岁(最小9岁,最大60岁)。24例中10例于摄片上未见到骨折线而手术中被证实9例有骨折。另14例为纵形骨折。术前听力检查(外伤后三周)结果:感音性耳聋2例,传导性耳聋8例,混合性耳聋7例,听力正常7例。24例的
This group of patients only refers to traumatic facial paralysis and does not include facial paralysis due to surgical procedures. 60-80% of traumatic facial paralysis can be recovered after systemic drug treatment. Surgical treatment of refractory cases were indications: clinical examination obvious facial paralysis; electrical test results poor recovery of nerve function. If patients with conductive deafness should be early (third week) surgery. Among 24 cases, 14 were female and 10 were male. The average age is 33 1/2 years old (minimum 9 years old, maximum 60 years old). In 24 cases, no fracture line was seen in 10 cases and 9 cases were confirmed as fractures during operation. The other 14 cases were longitudinal fractures. Preoperative auditory examination (three weeks after trauma) Results: Sensory deafness in 2 cases, conductive deafness in 8 cases, mixed deafness in 7 cases, normal hearing in 7 cases. 24 cases of