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选择性面神经减压术治疗外伤性周围性面瘫

Selective facial nerve decompression in treatment of traumatic peripheral facial paralysis

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【作者】 鲁飞董人禾周为群陆艳

【Author】 LU Fei,DONG Renhe,ZHOU Weiqun,et al. Department of Torhinolaryngology Head and Neck Surgery,Huashan Hospital, Fudan University, Shanghai 200040,China

【机构】 复旦大学附属华山医院耳鼻咽喉-头颈外科复旦大学附属华山医院耳鼻咽喉-头颈外科 200040上海200040上海

【摘要】 目的 探讨选择性面神经减压术治疗外伤性周围性面瘫的方法和临床意义。 方法 回顾性分析 1 990~ 2 0 0 1年间采用选择性面神经减压术治疗外伤性周围性面瘫 1 0 3例的临床特点及治疗方法。 结果  1 0 3例患者中术后随访 93例 ,依据House -Brackmann面神经功能恢复评分标准评定 ,Ⅰ级恢复 71例 ,Ⅱ级恢复 1 4例 ,Ⅲ级恢复 5例 ,Ⅳ级恢复 2例 ,Ⅴ级恢复 1例 ,其中Ⅰ~Ⅱ级恢复者占随访人数的 91 .4%。 结论 选择性面神经减压术治疗外伤性周围性面瘫是一种更为简便、有效的手术方法

【Abstract】 Objective To study the clinical significance and surgical way of selective facial nerve decompression in treatment of traumatic peripheral facial nerve paralysis. Methods A total of 103 cases of traumatic peripheral facial nerve paralysis treated with selective facial nerve decompression in our department between 1990 and 2001 were retrospectively analyzed. Results Of 103 cases, 93 cases were followed up after surgical treatment. According to House-Brackmann facial nerve function scores, 91.4% of them experienced normal or subnormal facial nerve recovery (71 cases obtained degree Ⅰ recovery, 14 cases degree Ⅱ recovery). Partial recovery was obtained in the others (degree Ⅲ in 5 cases, degree Ⅳ in 2 cases and degree Ⅴ in 1 case). Conclusions Selective facial nerve decompression is an easier and more efficient way in surgical treatment of traumatic peripheral facial nerve paralysis.

  • 【文献出处】 中华创伤杂志 ,Chinese Journal of Traumatology , 编辑部邮箱 ,2002年07期
  • 【分类号】R651.1
  • 【被引频次】8
  • 【下载频次】106
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