梅尔克森-罗森塔尔综合征中的复发性面神经麻痹：面神经全程减压术对预防进一步复发有效。
Recurrent facial palsy in Melkersson Rosenthal syndrome: total facial nerve decompression is effective to prevent further recurrence.
作者信息
Tan Zulin, Zhang Yang, Chen Wei, Gong Weixi, Zhao Jiapeng, Xu Xianrong
机构信息
Department of Otorhinolaryngology, General Hospital of Air Force, Beijing, P.R.C.
Department of Neurosurgery Third Affiliated Hospital of Xinxiang Medical College, Xinxiang City, Henan Province P.R.C.
出版信息
Am J Otolaryngol. 2015 May-Jun;36(3):334-7. doi: 10.1016/j.amjoto.2014.12.001. Epub 2014 Dec 4.
OBJECTIVE
To study the role of total facial nerve decompression in preventing further recurrence of facial palsy in Melkersson Rosenthal syndrome (MRS).
METHODS
Total facial nerve decompression was performed on nine patients with recurrent facial palsy in MRS, and prednisolone treatment was given to 6 cases who declined surgery. They were incorporated into surgery group and control group, respectively. Patients in surgery group and control group were followed up for 5.4 ± 1.4 years (range, 4 to 8 years) and 6.0 ± 1.4 years (range, 4 to 8 years), respectively.
RESULTS
Further episodes of facial palsy affected none of 9 cases (0.0%) in surgery group, while they affected 3 of 6 cases (50.0%) in control group, with significant difference (p<0.05).
CONCLUSIONS
Total facial nerve decompression was effective to prevent further episodes of facial palsy in MRS.
目的
研究全面神经减压术在预防梅尔克森 - 罗森塔尔综合征（MRS）面神经麻痹复发中的作用。
方法
对9例复发性MRS面神经麻痹患者行全面神经减压术，6例拒绝手术者给予泼尼松龙治疗，分别纳入手术组和对照组。手术组和对照组患者分别随访5.4±1.4年（范围4至8年）和6.0±1.4年（范围4至8年）。
结果
手术组9例患者均未出现（0.0%）面神经麻痹复发，而对照组6例中有3例（50.0%）复发，差异有统计学意义（p<0.05）。
结论
全面神经减压术可有效预防MRS患者面神经麻痹复发。
Zotero 插件