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著者统计分析了文献中96例耳带状疱疹合并面瘫的治疗及其本人的4例经验,著者认为:面瘫保守治疗数周无治愈倾向者应积极施行面神经减压术。著者又提出:面瘫保守治愈率为70％,尚有30％患者的面瘫情况无改善,这可能由个体解剖差异(如面神经走行异常或面神经管狭窄)等因素引起,单纯依靠保守治疗等待面瘫自行恢复有时会延误适宜的手术时机。面神经全程减压不一定影响听力及产生耳鸣,也不致因手术而损伤面神经,因此著者主张早期施行面神经减压术。经组织学检查最近已否定Ramsay Hunt所提出的重视膝状神经节的观点。
Author of a statistical analysis of the literature 96 cases of herpes zoster complicated facial paralysis and his own 4 cases of experience, the author believes: facial paralysis conservative treatment for ten weeks no tendency to heal should be actively implemented facial nerve decompression. The authors also proposed: conservative treatment of facial paralysis was 70%, 30% of patients there is no improvement of facial paralysis, which may be caused by individual anatomical differences (such as abnormal facial nerve or facial nerve canal stenosis) and other factors, simply rely on conservative treatment waiting for facial paralysis themselves Recovery sometimes delays the timing of appropriate surgery. Facial nerve decompression throughout does not necessarily affect the hearing and tinnitus, nor damage to the facial nerve due to surgery, so the authors advocate the early implementation of facial nerve decompression. Histological examination recently denied Rachan Hunt’s emphasis on geniculate ganglia.