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本文对面神经管减压治疗外伤性面瘫1例分析如下。1病历概要男,40岁。头部外伤后左侧面瘫1个月余。在外院给予保守治疗1个月余症状无改善,转入我科。体检:神志清,精神可,左侧额纹消失,左眼闭合不完全,鼻唇沟不对称,电测听示左耳混合性聋,肌电图检查结果示左面神经损伤(90%),左侧面瘫H-B分级V级,颅脑CT示左颞骨骨折,给予神经营养治疗2周,在患者自受伤后50d后并面瘫症状后无改善的情况下,全麻行乳突入路面神经管减压术,术中剥离暴露乳突部,
In this paper, facial nerve decompression treatment of traumatic facial paralysis in 1 case as follows. 1 medical records male, 40 years old. Left head facial paralysis more than 1 month after head trauma. In the external hospital to give conservative treatment for more than 1 month without improvement in symptoms, transferred to our department. Physical examination: conscious, mental, left forehead pattern disappeared, incomplete closure of the left eye, nasolabial fold asymmetry, electrical audiometry showed left ear mixed hearing loss, EMG examination showed left nerve injury (90%), Left lateral paralysis HB grade V grade, cranial CT showed left temporal bone fracture, given neurotrophic therapy for 2 weeks, 50 days after the patient was injured and no improvement after facial paralysis, general anesthesia mastodesis pavement tube decompression Surgery, intraoperative stripping exposed mastoid,