面瘫是分娩常见的并发症,发生率约占活婴的0.5‰,生后四周90％以上可完全恢复。作者报告一例新生儿产钳头伤致左侧完全性面瘫,经临床观察和连续神经电生理学检查(NEP),4周面肌恢复活动,4月后神经功能完全恢复。文中提及一些作者认定面神经严重损伤应在两周内进行减压或吻合术,但作者经验产伤所致面瘫观察至少5周,经NEP无恢复迹象者才作手术,此时并不影响损伤的神经有效地恢复。 Facial paralysis is a common complication of childbirth, the incidence of about 0.5 ‰ live births, more than 90% of the four weeks after birth can be completely restored. The authors report a case of complete facial paralysis on the left side of a neonatoral forceps head injury. After 4 weeks of facial nerve recovery, neuronal function recovered completely after clinical observation and continuous neurophysiological examination (NEP). Mentioned in the article that some authors believe that severe facial nerve injury should be decompression or anastomosis within two weeks, but the author experience of facial paralysis due to birth trauma observed at least 5 weeks, no signs of recovery by NEP was surgery, this time does not affect the injury The nerves effectively recover.