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Duel于1931年首创面神经减压术治疗Bell氏麻痹,50年后在英国此手术已被放弃,而在美国仍在进行,但有争论。1931年后出现了多种手术方法和判断预后试验。借面神经减压手术50周之机,可以回顾一下既往并瞻望将来。为了解决Bel l氏麻痹手术处理方面存在的问题,作者们特按年代顺序进行如下评述。 1932年Ballance和Duel发表面神经麻痹手术治疗论文,提出感应电刺激无反应时,在面神经远侧端去除面神经管壁1厘米以减压;直流电刺激无反应则为手术禁忌症。1936年Morris提出在面神经垂直段下半段减压,宜在感应电无反应后3～4周手术。感应电反应部分受损和面瘫不改善也是指针。1936年Tumarkin进行“血管性减压”,行单纯乳突凿开术后,切断茎乳动脉
Duel, the first facial nerve decompression in 1931 to treat Bell’s palsy, was abandoned in the UK 50 years later and is still ongoing in the United States but controversial. After 1931 there are a variety of surgical methods and prognosis of the trial. By facial nerve decompression surgery 50 weeks of the machine, you can look back and look forward to the future. In order to solve the problems of Bel’s paralysis surgery, the authors make the following comments in chronological order. 1932 Ballance and Duel published facial nerve paralysis surgical treatment of the paper, proposed induction of electrical stimulation without response, the facial nerve distal side of the facial nerve to remove 1 cm to decompression; DC stimulation is no contraindication for surgery contraindications. Morris proposed in 1936 decompression of the lower half of the vertical facial nerve should be 3 to 4 weeks after induction of non-response surgery. Part of the induced electrical damage and facial paralysis is not improved pointer. Tumarkin 1936 “vascular decompression”, simple mastoidectomy, cutting off the stem and milk artery