周围性面瘫的外科治疗  

Surgery for peripheral facial palsy

作　　者：刘海生[1] 郑佳平[1] 梁晖[1] 张秋航[2] 陈国强[1] 左焕琮[1] 

机构地区：[1]清华大学第二附属医院神经外科,北京100049 [2]首都医科大学宣武医院耳鼻咽喉-头颈外科,北京100053

出　　处：《中国微侵袭神经外科杂志》2007年第1期19-21,共3页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的探讨周围性面瘫的外科手术治疗方法。方法回顾性分析12例周围性面瘫的手术经验。其中Bell麻痹5例,颞骨损伤致外伤性面瘫3例,桥小脑角肿瘤术后面神经断裂3例,腮腺外伤面神经断裂1例。术前面神经功能House-Brackmann分级Ⅳ级8例,Ⅴ级4例。结果行面神经减压术8例,面神经吻合术3例,面神经移植术1例。术后无感染、手术所致感音神经性耳聋、颈静脉球或乙状窦损伤等并发症。术后随访1.2年;面神经功能House-Brackmann分级Ⅰ级2例,Ⅱ级6例,Ⅲ级4例。结论周围性面瘫选择适宜的外科手术方法治疗,可获得良好的治疗效果。Objective To investigate into different surgical approaches for peripheral facial palsy. Methods Surgical experiences from 12 patients with peripheral facial palsy were retrospectively analyzed, including 5 cases of Bell＇s palsy, 3 temporal bone fracture, 3 cerebellopontine angle tumor, and 1 parotid injure. Preoperative House-Brackmann grade was Ⅳ in 8 cases, and Ⅴ in 4. Results The approach included facial decompression in 8 patients, neuroanastomosis in 3, and nerve grafting in 1. No such postoperative complications occurred as sensorineural hearing loss, cerebrospinal fluid leak, and injury to the chorda tympani, jugular bulb and sigmoid sinus due to operation. The average follow-up period was 1.2 years. House-Brackmann grade was Ⅰ in 2 cases, grade Ⅱ in 6, and grade Ⅲ in 4. Conclusion An appropriate surgical approach for peripheral facial palsy can render a good prognosis.　

关 键 词：周围性面瘫 减压术 外科 神经吻合术 神经移植 颅骨骨折 

分 类 号：R651.3[医药卫生—外科学]