Panda N K, Mehra Y N, Mann S B, Mehta S K
Dept. of Otolaryngology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
J Pak Med Assoc. 1991 May;41(5):105-7.
A retrospective analysis of 23 cases of post-traumatic facial nerve injury has been done. Majority of the cases had a conductive or a mixed deafness. The Schirmer's test has been considered to be one of the main indicators to determine the site of injury. The mastoid segment of the facial nerve was found to be injured in 52% of the patients. The surgical approach in patients with post-traumatic facial nerve paralysis should be transmastoid. This can be combined with a middle fossa approach in patients with a positive Schirmer's test.
对23例创伤后面神经损伤病例进行了回顾性分析。大多数病例存在传导性或混合性耳聋。泪液分泌试验被认为是确定损伤部位的主要指标之一。发现52%的患者面神经乳突段受损。创伤后面神经麻痹患者的手术入路应为经乳突入路。对于泪液分泌试验阳性的患者,可联合中颅窝入路。