Portmann D, Gharbi F, Darrouzet V, Bébéar J P, Portmann M
CHU Pellegrin Tripode, Clinique ORL, Bordeaux, France.
Rev Laryngol Otol Rhinol (Bord). 1991;112(5):441-3.
Post-traumatic facial palsies are generally observed after a transverse, longitudinal or comminuted fracture of the pars petrosa. Occasionally, the fracture does not involve the Fallopian aqueduct and another mechanism must be sought. The authors present a case of facial palsy that occurred after a Le Fort's fracture of the base of the skull, not involving the Fallopian aqueduct on the CT scan. This was confirmed by surgical exploration. The authors recall the possibility of a facial palsy through the stretching of the nerve by the petrosal nerve.
创伤后面神经麻痹通常在岩部横行、纵行或粉碎性骨折后出现。偶尔，骨折未累及面神经管，必须寻找其他机制。作者报告了1例颅骨基底Le Fort骨折后发生面神经麻痹的病例，CT扫描显示未累及面神经管。手术探查证实了这一点。作者回顾了岩神经牵拉导致面神经麻痹的可能性。
