Xu Peng, Jin Aiyan, Dai Baoqiang, Li Ruijie, Li Yefeng
Department of Otolaryngology, Cangzhou Central Hospital, Cangzhou 061001, Hebei Province, People's Republic of China.
Department of Otolaryngology, Cangzhou Central Hospital, Cangzhou 061001, Hebei Province, People's Republic of China.
Am J Otolaryngol. 2017 May-Jun;38(3):269-271. doi: 10.1016/j.amjoto.2017.01.002. Epub 2017 Jan 19.
To explore surgical timing of facial paralysis after temporal bone trauma.
The clinical data of the patients with facial paralysis after temporal bone trauma who underwent subtotal facial nerve decompression were retrospectively collected, and 80 cases followed-up for one year were enrolled in the study. They were divided into different subgroups according to the age, onset, and interval between facial paralysis and surgery, and the outcomes of facial nerve between different subgroups were compared.
The number of patients who achieved good recovery of HB Grade I or II was 52 of 80 (65.0%). 43 of 66 cases (65.2%) in the younger group had good recovery of facial nerve in contrast to 9 of 14 cases (64.3%) in the elderly group, without significant difference (p>0.05). 9 of 13 cases (69.2%) in the delayed onset group had good recovery, while 43 of 67 cases (64.2%) in the immediate onset group had good recovery, without significant difference (p>0.05). The good recovery rate of the <1month group was statistically higher compared to the 3-6months group or the >6months group (P<0.05), while the good recovery rate of the <1month group was not statistically higher than that of the 1-2months group or the 2-3months group (P>0.05).
This study demonstrated that the good recovery rate of facial paralysis after temporal bone trauma was uncorrelated with age and onset. It was better to perform surgical decompression within 3months after facial paralysis.
探讨颞骨外伤后面瘫的手术时机。
回顾性收集行面神经次全减压术的颞骨外伤后面瘫患者的临床资料，纳入80例随访1年的患者。根据年龄、发病时间、面瘫与手术间隔时间分为不同亚组，比较不同亚组面神经恢复情况。
80例患者中，面神经功能恢复至House-Brackmann（HB）Ⅰ级或Ⅱ级的有52例（65.0%）。年轻组66例中有43例（65.2%）面神经恢复良好，老年组14例中有9例（64.3%），差异无统计学意义（p>0.05）。延迟发病组13例中有9例（69.2%）恢复良好，即刻发病组67例中有43例（64.2%）恢复良好，差异无统计学意义（p>0.05）。面瘫后<1个月组的良好恢复率显著高于3 - 6个月组或>6个月组（P<0.05），但<1个月组的良好恢复率与1 - 2个月组或2 - 3个月组相比无显著差异（P>0.05）。
本研究表明，颞骨外伤后面瘫的良好恢复率与年龄和发病时间无关。面瘫后3个月内行手术减压效果更佳。
