面神经损伤182例临床资料回顾性分析  

Clinical analysis of 182 cases with facial nerve injury

作　　者：于国霞[1] 蔡志刚[1] 卢旭光[1] 施晓健[1] 彭歆[1] 俞光岩[1] 

机构地区：[1]北京大学口腔医学院·口腔医院口腔颌面外科,100081

出　　处：《中华口腔医学杂志》2008年第10期579-583,共5页Chinese Journal of Stomatology

摘　　要：目的分析颌面部外周性面神经损伤后功能恢复的规律和相关影响因素。方法回顾分析182例面神经损伤患者的病历资料，分析损伤部位、损伤方式、损伤后治疗时间及治疗方式对于面神经功能恢复结果的影响。结果口腔颌面部面神经损伤以分支损伤为主。神经损伤方式、部位、患者年龄、修复时间等因素均对面神经功能恢复结果有影响。随访至最终有完整记录的解剖性损伤49例中，45例（92％）在6个月内完全恢复；断裂损伤59例中，53例（90％）于6个月内开始恢复；12个月内，神经吻合35例中33例（94％）面神经功能开始恢复；8例神经移植病例中5例（62％）完全恢复。结论口腔颌面部手术中应尽量降低对神经的损伤，尽早修复受损神经，这样能够更好地保存面神经功能.Objective To investigate the recovery patterns and the influencing factors of facial nerve injury in maxillofacial surgery by retrospective analysis of a serial clinical data. Methods A total of 182 patients with facial nerve injury were reviewed. The cause of injury, the initial facial nerve function after trauma, the treatment, the initial recovery time of facial nerve function and the total recovery time were recorded. The factors that influenced the outcome of facial nerve function were analyzed. Results The facial nerve branch injury was common in maxillofacial injury. The injury pattern, location, age and reconstruction time all had effects on the function recovery of the facial nerve. Within 6 months , 45 of 49 （92%） anatomic injured patients completely recovered in 6 months; 53 of 59 patients （90%）began to recoverwhen nerve had been ruptured. In 12 months, 33 of 35 patients （94%） after nerve anastomosed and 5 of 8 patients （62%）with nerve transplantation got complete recovery. Conclusions Preserving the facial nerve during surgery is very important. If the facial nerve is injured, reconstructive surgery should be applied as soon as possible.

关 键 词：面神经损伤 面神经麻痹 创伤和损伤 

分 类 号：R686[医药卫生—骨科学]