Wang Kai, Chou Haiyan, Li Yefeng
Department of Plastic Surgery, Henan Provincial People's Hospital, Zhengzhou, Henan Province, P.R.C.
Department of Plastic Surgery, Henan Provincial People's Hospital, Zhengzhou, Henan Province, P.R.C.
Am J Otolaryngol. 2015 Mar-Apr;36(2):264-7. doi: 10.1016/j.amjoto.2014.12.002. Epub 2014 Dec 9.
To study preservation of nerve integrity in 16 cases with facial nerve hemangiomas at geniculate ganglion (GG).
16 cases with facial nerve hemangiomas at GG, who presented with facial palsy, were included in the study. Preservation of nerve integrity was attempted by the same surgeon during surgical removal, and those who failed to preserve nerve integrity underwent nerve grafting. The patients were divided into longer duration group (>12months) and shorter duration group (≤12months) according to duration of facial palsy, and preservation of nerve integrity in the couple of groups was compared.
Nerve integrity was preserved in 2 of 10 cases (20%) among longer duration group, while it was preserved in 5 of 6 cases (83.3%) among shorter duration group (p<0.05). All the cases with nerve integrity preserved recovered to grade III or better, among which 3 cases recovered to grade I or grade II, while only 3 of 9 cases (33.3%) with nerve grafting recovered to grade III at the best.
Preservation of nerve integrity was correlated with duration of facial palsy in cases with hemangiomas at GG. Patients with nerve integrity preserved showed better outcomes of facial nerve.
研究16例膝状神经节（GG）面神经血管瘤患者神经完整性的保留情况。
纳入16例表现为面瘫的GG面神经血管瘤患者。同一位外科医生在手术切除过程中尝试保留神经完整性，未能保留神经完整性的患者接受神经移植。根据面瘫持续时间将患者分为较长病程组（>12个月）和较短病程组（≤12个月），比较两组神经完整性的保留情况。
较长病程组10例中有2例（20%）保留了神经完整性，而较短病程组6例中有5例（83.3%）保留了神经完整性（p<0.05）。所有保留神经完整性的病例恢复至Ⅲ级或更好，其中3例恢复至Ⅰ级或Ⅱ级，而接受神经移植的9例中仅有3例（33.3%）最佳恢复至Ⅲ级。
GG血管瘤患者神经完整性的保留与面瘫持续时间相关。保留神经完整性的患者面神经预后较好。
