腮腺咬肌区外伤性面神经损伤的一期手术治疗  

Observation on curative effect of one-stage surgical treatment of traumatic facial nerve injury in parotideomasseteric region

作　　者：屠军波[1] 蒋菲[1] 虎小毅[1] 侯成群[1] 马瑞朝[1] 李全雁[1] 

机构地区：[1]西安交通大学口腔医院颌面整形创伤外科,西安710004

出　　处：《陕西医学杂志》2013年第10期1334-1335,1339,共3页Shaanxi Medical Journal

基　　金：陕西省科学技术研究发展计划项目(社发攻关2011K14-02-06)

摘　　要：目的：观察腮腺咬肌区外伤性面神经损伤一期端端吻合手术治疗的疗效。方法：回顾性分析22例腮腺咬肌区外伤性面神经损伤患者的临床资料。所有患者均接受一期面神经端端吻合手术。调查内容包括年龄、性别、病因、治疗措施、面神经恢复、并发症等。所有病人至少随访6～24个月。结果：所有患者均一期愈合。6例患者面神经功能恢复至工度，13例患者恢复至Ⅱ度，3例患者恢复至Ⅲ度。结论：腮腺咬肌区面神经损伤后，早期并准确的进行一期端端吻合手术治疗，能取得较好的临床效果。Objective：The purpose of this retrospective study was to evaluate the efficacy of facial-facial anastomosis for facial nerve injury. Methods： The records of 22 patients treated for traumatic facial nerve injury in parotideomasseteric region between 2000 and 2012 were reviewed in department of Oral and Maxillofacial Surgery, Stomatological Hospital, Xi＇an Jiaotong University. All patients accepted a early facial-facial anastomosis. Pre-and postoperative data analyzed included patient age and gender, etiology, treatment type, facial nerve function recovery, complications. At least 6 to 24 months clinical follow up. Results：There were 6 cases of patients whose facial nerve functional recovered to Ⅰ degree,13 cases that recovered to Ⅱ degree, 3 cases that recovered to Ⅲ degree. Conclu- sion：Early facial-facial anastomosis is the preferred method for facial nerve injury treatment.

关 键 词：面神经损伤/外科学 吻合术 外科/方法 

分 类 号：R782[医药卫生—口腔医学]