Rudman Kelli L, Rhee John S
Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA.
Otolaryngol Clin North Am. 2012 Apr;45(2):513-30, xi. doi: 10.1016/j.otc.2011.12.015.
Facial nerve dysfunction after resection of a vestibular schwannoma is one of the most common indications for facial nerve habilitation. This article presents an overview of common and emerging management options for facial habilitation following resection of a vestibular schwannoma. Immediate and delayed nerve repair options, as well as adjunctive surgical, medical, and physical therapies for facial nerve dysfunction, are discussed. Two algorithms are provided as guides for the assessment and treatment of facial nerve paralysis after resection of vestibular schwannoma.
前庭神经鞘瘤切除术后的面神经功能障碍是面神经康复最常见的适应证之一。本文概述了前庭神经鞘瘤切除术后面神经康复的常见及新出现的治疗选择。讨论了即时和延迟神经修复选择,以及针对面神经功能障碍的辅助手术、药物和物理治疗。提供了两种算法作为评估和治疗前庭神经鞘瘤切除术后面神经麻痹的指南。