论文部分内容阅读
目的 :探讨中耳和乳突术后迟发性面瘫的病因、治疗及转归。方法 :对 10例中耳、乳突术后迟发性面瘫进行诊断、治疗和预后观察 ,患者均采用激素、营养神经和扩血管药物及理疗等综合治疗。结果 :迟发性面瘫多发生于术后第 4天左右。面神经功能Ⅱ～Ⅲ级 ,绝大部分病例在 3周左右完全恢复 ,且无任何后遗症。结论 :慢性中耳炎中耳乳突术后迟发性面瘫的发生可能为局部面神经或鼓索神经微创伤引起局限性反应性水肿所致 ;也可能与并发单纯疱疹病毒感染有关。
Objective: To investigate the etiology, treatment and outcome of delayed facial paralysis after middle ear and mastoid surgery. Methods: 10 cases of middle ear, mastoid delayed posterior facial paralysis diagnosis, treatment and prognosis, the patients were treated with hormones, nutritional nerves and vasodilator drugs and physical therapy and other comprehensive treatment. Results: Delayed facial paralysis occurred more than 4 days after operation. Facial nerve function Ⅱ ~ Ⅲ grade, the vast majority of cases fully recovered in about 3 weeks, and without any sequelae. Conclusion: The occurrence of delayed facial paralysis after middle ear mastoid process of chronic otitis media may be caused by localized reactive edema caused by local facial nerve or traumatic nerve microtrauma. It may also be associated with the herpes simplex virus infection.