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目的避免中耳手术对面神经的损伤。方法对本科1990～2005年行中耳手术并发面瘫8例进行观察。结果面瘫的发生与面神经损伤程度,部位,以及是否及时治疗有关。结论熟练基本功操作,掌握面神经正常解剖行径及变异,遵循手术操作与注意事项,在显微镜下细心操作,面神经损伤是可以避免的。
Objective To avoid the middle ear surgery on the facial nerve damage. Methods The undergraduate orthopedic surgery complicated with facial paralysis from 1990 to 2005 was observed in 8 cases. Results The occurrence of facial paralysis and facial nerve injury degree, location, and whether timely treatment. Conclusions Skilled basic skills operation, to grasp the normal facial nerve anatomy and variation, follow the operation and precautions, careful operation under the microscope, facial nerve injury can be avoided.