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患者茎突过长导致反复发作的单侧周围性面瘫。

Recurrent unilateral peripheral facial palsy in a patient with an enlarged styloid process.

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, University of Zurich, Zurich, Switzerland.

Department of Otorhinolaryngology, Head and Neck Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.

出版信息

Head Neck. 2019 Mar;41(3):E34-E37. doi: 10.1002/hed.25384. Epub 2018 Dec 24.

Abstract

BACKGROUND

Recurrent peripheral facial paresis is a rare symptom that may be caused by multiple pathologic conditions.

METHODS

We report a case of recurrent peripheral facial palsies caused by an ipsilateral enlarged styloid process. A surgical excision of the process was performed.

RESULTS

The treatment was well tolerated. Postoperatively, no further recurrent paresis was observed.

CONCLUSION

To the best of our knowledge, this is the first case study of an enlarged styloid process with facial paresis. A detailed workup, including imaging, should be performed in cases with recurrent facial paresis and/or cases with a history of trauma and facial paresis and, of course, to exclude a neoplastic etiology.

摘要

背景

复发性周围性面瘫是一种罕见的症状,可能由多种病理情况引起。

方法

我们报告了一例由同侧增大的茎突引起的复发性周围性面瘫。手术切除了该过程。

结果

治疗耐受良好。术后未再观察到复发性面瘫。

结论

据我们所知,这是首例因面瘫而增大的茎突的病例研究。对于复发性面瘫和/或有面瘫和外伤病史的患者,应进行详细的检查,包括影像学检查,并排除肿瘤病因。

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