论文部分内容阅读
本文报告了１９８８～１９９８年收治的２５例颞骨骨折合并面瘫患者的临床表现及治疗结果，男性２０例，女性５例，年龄２～４０岁。颞骨纵行骨折７例，横行骨折４例，耳道－乳突复合性骨折１４例。５例保守治疗，行面神经减压术２０例，手术采用：经颞迷路上径路１例（颅中窝径路）；经乳突颞下迷路外径路５例；迷路径路２例；中耳乳突径路１２例（其中面神经隐窝径路９例，开放式手术３例）。１５例术后观察６月～６年，面肌功能恢复良好１２例，占８０％，其中以外耳道－乳突复合性骨折效果佳。外伤时间长，面神经损伤程度重，是面肌功能恢复不良的重要因素。
This article reports the clinical manifestations and treatment outcomes of 25 patients with temporal bone fractures complicated with facial paralysis admitted from 1988 to 1998. There were 20 males and 5 females, aged 2 to 40 years old. Temporal bone longitudinal fracture in 7 cases, transverse fracture in 4 cases, 14 cases of auditory canal - mastoid complex fracture. Five cases were treated conservatively. Facial nerve decompression was performed in 20 cases. Surgical operation was performed in 1 case (middle cranial fossa path) via temporo-temporal laparoscopic approach, 5 cases of extramandibular temporomandibular labyrinth pathology, 2 cases of obturator pathology, Pathway in 12 cases (including 9 cases of facial nerve recess pathways, open surgery in 3 cases). 15 cases were observed after 6 months to 6 years, facial muscle function recovered well in 12 cases, accounting for 80%, of which external auditory canal - mastoid complex fracture effect is good. Long traumatic injury, facial nerve damage is heavy, is an important factor in facial muscle dysfunction.