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目的 :探讨手术治疗胆脂瘤型中耳炎并发面瘫的合理术式。方法 :对胆脂瘤型中耳炎并发周围性面瘫 35例行面神经减压 ,其中 32例行开放式乳突手术 ,3例行闭合式手术。结果 :行开放式乳突手术面神经减压者House BrackmannⅠ～Ⅱ级恢复 2 4例 ,Ⅲ～Ⅴ级恢复 8例 ;行闭合式手术者 ,面神经功能恢复较缓慢 ,2例Ⅱ级恢复 ,1例术后 8个月出现联带运动。结论 :尽早选用开放式乳突手术径路行颞骨内面神经减压 ,是治疗胆脂瘤型中耳炎合并面瘫的有效方法。
Objective: To investigate the reasonable operation of surgical treatment of cholesteatoma otitis media complicated by facial paralysis. Methods: Facial nerve decompression was performed on 35 patients with cholesteatoma otitis media complicated by peripheral facial paralysis. 32 patients underwent open mastoid surgery and 3 patients underwent closed surgery. Results: In the open mastoidectomy, House Brackmann Ⅰ ~ Ⅱ level recovery 24 cases, Ⅲ ~ Ⅴ recovery 8 cases; line closed surgery, facial nerve function recovery more slowly, 2 cases of grade Ⅱ recovery, 1 case 8 months after the occurrence of conjoined movement. Conclusion: Aspiration of open mastoid surgery is the best choice for the treatment of cholesteatoma otitis media with facial paralysis.