Darrouzet V, Papaxanthos M, Stoll D, Bébéar J P
Rev Laryngol Otol Rhinol (Bord). 1989;110(5):471-4.
Following 2 recent observations of progressive facial paralysis, the authors discuss the diagnostic problems encountered and the compressive etiology observed frequently. Extrinsic nerve damage calls for rapid care but should not cause the existence of neurinomas of the 7th nerve, more frequent than suspected, to be overlooked. Facial paralysis is the most frequent inaugural symptom, however the neurinomas of the 7th nerve may be preceeded by a pure cochleovestibular syndrome or a tumoral syndrome of the middle ear. They can appear at any place on the nerve, however the tympanomastoidal locations are most frequent. The approach of these tumors depends on their position, size and the patient's hearing. Nerve rehabilitation can be obtained using modern derouting techniques, grafts of sometimes hypoglossalfacial anastomosis.
在最近观察到2例进行性面神经麻痹后，作者讨论了遇到的诊断问题以及常见的压迫性病因。外在神经损伤需要迅速治疗，但不应忽视比预期更常见的第7神经神经鞘瘤的存在。面神经麻痹是最常见的首发症状，然而第7神经神经鞘瘤可能先出现单纯的耳蜗前庭综合征或中耳肿瘤综合征。它们可出现在神经的任何部位，然而鼓室乳突部位置最为常见。这些肿瘤的治疗方法取决于其位置、大小和患者的听力。可使用现代改道技术、有时采用舌下神经-面神经吻合术进行移植来实现神经康复。
