Parisier S C, Blitzer A, Binder W J, Friedman W F, Marovitz W F
Otolaryngology. 1978 Mar-Apr;86(2):ORL308-21. doi: 10.1177/019459987808600224.
Thirty patients were treated by tympanic neurectomy, chorda tympanectomy, or both for a variety of conditions. Out of six patients with gustatory sweating treated by tympanic neurectomy, two patients were relieved of symptoms, two were improved, and two remained unchanged. In five cases of benign recurrent painful parotid swelling, only two patients noted improvement in symptoms. Seventeen patients suffered from drooling. Out of 12 postresection head and neck patients, 5 (41%) were improved following such surgery. Two of four cerebral palsy children initially had a good result. However, the long term follow-up of the patients demonstrated that the drooling recurred. An additional patient who suffered from drooling caused by bulbar weakness following a cerebrovascular accident had fewer problems with salivary secretions postoperatively. The pertinent anatomy and pathophysiology is outlined. The possible reasons for the relatively disappointing results achieved are discussed.
30例患者因各种病症接受了鼓室神经切除术、鼓索神经切除术或两者联合手术。在6例接受鼓室神经切除术治疗味觉性出汗的患者中，2例症状缓解，2例症状改善，2例症状无变化。在5例复发性腮腺良性疼痛肿胀病例中，只有2例患者症状有所改善。17例患者存在流涎问题。在12例头颈部切除术后的患者中，5例（41%）在接受此类手术后症状得到改善。4例脑瘫儿童中有2例最初效果良好。然而，对患者的长期随访表明流涎复发。另外1例因脑血管意外后延髓性肌无力导致流涎的患者术后唾液分泌问题较少。文中概述了相关的解剖结构和病理生理学。讨论了取得相对令人失望结果的可能原因。
