经乳突进路面神经减压术治疗中耳胆脂瘤并发面神经损害75例  

Transmastoid approach treatment for facial paralysis complicated by otitis media cholesteatoma(75 cases report)

作　　者：刘骏 赵宇[2] 邹剑[2] 秦学玲[2] 

机构地区：[1]新疆农一师阿拉尔人民医院耳鼻喉科,新疆阿拉尔843300 [2]四川大学华西医院耳鼻咽喉头颈外科,成都610041

出　　处：《山东大学耳鼻喉眼学报》2013年第1期31-32,35,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨经乳突进路治疗中耳胆脂瘤导致的面神经损伤的最佳方法和疗效。方法对由中耳胆脂瘤引起周围性面瘫的75例患者,采取经乳突进路面神经减压术。75例中累及垂直段13例,水平段及锥段36例;膝状神经节22例,膝状神经节及迷路段4例。结果术后随访1～6个月,通过House-Beckmann面神经分级系统评分,结果为Ⅰ～Ⅴ级。结论对由中耳胆脂瘤累及面神经所致周围性面瘫,及时采取经乳突进路施行面神经减压术治疗,可取得满意效果。Objective To investigate the effect and method of transmastoid approach treatment for facial nerve paralysis complicated by otitis media cholesteatoma. Methods Clinical data of 75 peripheral facial paralysis patients caused by middle ear cholesteatoma were reviewed, including 13 cases involving the vertical segment, 36 cases involving the horizontal segment and cone segment, 22 cases involving the geniculate ganglion, and 4 cases involving the geniculate ganglion and labyrinth segment. Facial decompression surgery was performed through transmastoid apporach. Results In a 1 to 6-month follow-up, facial nerve function rehabilitated to Ⅰ~Ⅴ level based on House - Beckmann facial grading system score. Conclusion Transmastoid approach is a reliable method for facial nerve decompression in the treatment of peripheral facial paralysis caused by middle ear cholesteatoma.

关 键 词：中耳胆脂瘤 面神经 减压术 

分 类 号：R764.2[医药卫生—耳鼻咽喉科]