前庭神经鞘瘤手术后的迟发性面瘫。
Delayed facial palsy after vestibular schwannoma surgery.
作者信息
Fenton J E, Chin R Y, Kalamarides M, Sterkers O, Sterkers J M, Fagan P A
机构信息
Department of Otology/Neurotology, St. Vincent's Hospital, NSW 2010, Sydney, Australia.
出版信息
Auris Nasus Larynx. 2001 Apr;28(2):113-6. doi: 10.1016/s0385-8146(00)00110-3.
OBJECTIVE
there is a lack of uniformity in the literature of the definition of delayed facial palsy (DFP) after vestibular schwannoma surgery. The aim of this study was to attempt to provide a clear definition of this clinical entity.
METHODS
a prospective study was undertaken of all patients, with an intact facial nerve postoperatively, undergoing vestibular schwannoma surgery during a 16-month period. Delayed facial palsy was defined as any worsening of facial function after the initial assessment of postoperative function.
RESULTS
a total of 67 patients, operated on between February 1994 and June 1995 satisfied the requirements of the study. Eight of the 67 patients developed a worsening of facial function after the first postoperative day. There were three males and five females with an age range of 29-73 years (mean, 53 years).
CONCLUSION
DFP should be defined as any deterioration of facial function after vestibular schwannoma surgery.
目的
前庭神经鞘瘤手术后延迟性面瘫（DFP）的定义在文献中缺乏统一性。本研究的目的是尝试为这一临床实体提供明确的定义。
方法
对在16个月期间接受前庭神经鞘瘤手术且术后面神经完整的所有患者进行前瞻性研究。延迟性面瘫被定义为术后功能初始评估后面部功能的任何恶化。
结果
共有67例在1994年2月至1995年6月期间接受手术的患者符合研究要求。67例患者中有8例在术后第一天后面部功能出现恶化。其中男性3例，女性5例，年龄范围为29 - 73岁（平均53岁）。
结论
DFP应被定义为前庭神经鞘瘤手术后面部功能的任何恶化。
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