论文部分内容阅读
目的 :探讨中耳乳突手术面瘫和手术后面瘫的原因。方法 :回顾我院 1991～ 1998间年共行中耳乳突手术 5 16例 (5 30耳 )中 ,发生面瘫 18例 (18耳 ) ,占 3.4% ,术中出现面瘫 12例 ,其中有 8例立即行面神经减压术 ;6例为迟发性面瘫 ,行保守治疗。结果 :术中出现面瘫 12例中 ,行面神经减压术 8例 ,面瘫均完全恢复 ,4例未行面神经减压术者 ,其中 3例面瘫 2年部分恢复 ,1例 5年部分恢复 ;术后迟发性面瘫经保守性治疗 6例均完全恢复。结论 :术中出现面瘫 ,要迅速探查 ,常规行面神经减压术 ;术后面瘫可行保守治疗。
Objective: To investigate the causes of facial paralysis and postoperative paralysis in middle ear mastoid process. Methods: Fifteen cases (18 ears) of facial paralysis, accounting for 3.4%, had facial paralysis in 5 16 cases (5 30 ears) in our hospital from 1991 to 1998. There were 12 cases of facial paralysis Cases of immediate facial nerve decompression; 6 cases of delayed facial paralysis, conservative treatment. Results: In the 12 cases of facial paralysis during surgery, facial nerve decompression in 8 cases, facial paralysis were completely restored, 4 cases of facial nerve decompression were surgery, 3 cases of facial paralysis recovered partially in 2 years, 1 case of 5-year partial recovery; Delayed facial paralysis after conservative treatment of 6 patients were completely restored. CONCLUSION: Facial paralysis occurs during operation. It is necessary to investigate rapidly and perform routine facial nerve decompression. Facial paralysis can be treated conservatively.