Príhodová J, Zelený M, Kozák J
Otolaryngologické oddĕlení UVN, Praha.
Cesk Otolaryngol. 1990 Sep;39(5):303-6.
During the past ten years nine patients were referred to our hospital with lesions of the VIIth nerve. These lesions were inflicted during operation on account of chronic otitis media. One patient recovered after conservative treatment. Based on the EMG examination and clinical picture, eight patients were operated. In one who had an extensive lesion it did not prove possible to find the proximal stump and the patient improved after Normann-Dott's operation. In the remaining seven subjects also severe damage was involved: five times complete severing of the nerve occurred, twice partial severing and contusion, always in the mastoid portion of the VIIth nerve. The authors achieved as a rule a 50-75% restoration of function of the VIIth nerve Ballance-Duel's operation, using a graft of the n. suralis with microsuture of the epineurium and gluing of the nerve by plasma. Evaluation of late functional results was made 1-8 years after Ballance-Duel's operation. The authors recommend to reduce the risk of iatrogenic lesions of the VIIth nerve in beginners by assistance of experienced surgeons at several operations.
在过去十年中，有9例因慢性中耳炎手术导致第VII对脑神经损伤的患者被转诊至我院。1例患者经保守治疗后康复。根据肌电图检查和临床表现，对8例患者进行了手术。其中1例患者神经损伤广泛，未能找到近端残端，经诺曼 - 多特手术治疗后病情好转。其余7例患者也存在严重损伤：5例神经完全离断，2例部分离断并伴有挫伤，均发生在第VII对脑神经的乳突部。作者通常采用腓肠神经移植、神经外膜显微缝合及血浆黏合神经的方法，通过巴兰斯 - 迪厄尔手术使第VII对脑神经功能恢复50% - 75%。在巴兰斯 - 迪厄尔手术后1 - 8年对远期功能结果进行了评估。作者建议在多次手术中，由经验丰富的外科医生协助，以降低初学者医源性损伤第VII对脑神经的风险。
