中耳胆脂瘤伴面神经麻痹患者术后疗效分析  

Surgical Treatment Outcomes in Patients with Middle Ear Cholesteatoma and Facial Palsy

作　　者：薛文悦 王慧[1] 冯艳梅[1] 吴雅琴[1] 时海波[1] 陈正侬[1] XUE Wenyue;WANG Hui;FENG Yanmei;WU Yaqin;SHI Haibo;CHEN Zhengnong(Department of Otolaryngology,Sixth People's Hospital Affiliated to Shanghai Jiaotong University,Shanghai Hearing Test Center,Otolaryngology Institute of Shanghai Jiaotong University)

机构地区：[1]上海交通大学附属第六人民医院耳鼻咽喉头颈外科上海市听力测试中心上海交通大学耳鼻咽喉科研究所

出　　处：《中华耳科学杂志》2019年第4期488-491,共4页Chinese Journal of Otology

基　　金：国家自然科学基金面上项目(No.81770998)~~

摘　　要：目的探讨中耳胆脂瘤伴面神经麻痹患者行乳突切开术联合面神经减压术的治疗效果。方法对18例于2016至2018年间在我科接受乳突切开术合并面神经减压术的中耳胆脂瘤伴面神经麻痹患者进行回顾性分析。手术前后均以面神经功能分级(H-B)作为评价标准。结果术后1年面神经功能达H-BⅠ、Ⅱ级的占所有病例83.3%,而患者年龄和术前ENoG检查结果对患者面神经功能恢复的影响无统计学差异。结论对于出现患侧面神经麻痹的中耳胆脂瘤患者行乳突切开术联合面神经减压术是恢复面神经功能的有效治疗方式。Objective To report treatment outcomes after modified radical mastoidectomy and facial nerve decom-pression in patients with middle ear cholesteatoma and facial paralysis.Methods This is a retrospective review of data from 18 patients with middle ear cholesteatoma and facial nerve palsy who underwent mastoidotomy with facial nerve decompression between 2016 and 2018.Pre-and postoperative facial nerve function was evaluated by the House-Brack-mann(H-B)system.Results Of the 18 cases,83.3%achieved H-BⅠorⅡ1-year after operation.There was no corre-lation between surgery efficacy and age or preoperative ENoG results.Conclusion Mastoidotomy with facial nerve de-compression is necessary for patients with middle ear cholesteatoma who also suffer facial never palsy,with favorable recovery.

关 键 词：中耳胆脂瘤 面神经麻痹 面神经减压术 治疗效果 

分 类 号：R764[医药卫生—耳鼻咽喉科]