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面瘫又称面部神经麻痹,可分为中枢性和周围性(末稍性)两种类型,中枢性面瘫可因颅内占位性病变(肿瘤)或颅脑血管栓塞造成,而末梢性的面瘫临床多见于中耳炎合并症、贝尔麻痹以及耳带状疱疹。贝尔麻痹病因不清,可能是病毒感染造成面神经血供紊乱所致,常常在吹风受凉后引起。而耳带状疱疹是由带状疱疹病毒引起。这两种面瘫都可出现耳后或耳内疼痛,耳带状疱疹患者在耳周或耳道内可见疱疹,疼痛也较严重,有的伴有头晕和听力障碍。耳源性面瘫是由于慢性化脓性中耳炎,因肉芽组织或胆脂瘤破坏了面神
Facial paralysis, also known as facial nerve paralysis, can be divided into two types of central and peripheral (minimal), central facial paralysis due to intracranial space-occupying lesions (tumors) or cranial embolism, and peripheral facial paralysis More common in clinical otitis media comorbid, Bell paralysis, and the ear herpes zoster. Bell’s paralysis etiology, may be caused by viral infection caused by facial blood disorders, often after the hair caused by cold. And herpes zoster is caused by the herpes zoster virus. Both facial paralysis can occur after the ear or ear pain, herpes zoster patients in the ear or ear can be seen within the herpes, the pain is more serious, and some accompanied by dizziness and hearing impairment. Ear-derived facial paralysis is due to chronic suppurative otitis media, due to granulation tissue or cholesteatoma destroyed facial deity