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Laryngoscope. 2020 Jan;130(1):200-205. doi: 10.1002/lary.27906. Epub 2019 Mar 6.
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本文引用的文献

1
Interobserver variability of the House-Brackmann facial nerve grading system for the analysis of a randomized multi-center phase III trial.用于分析一项随机多中心III期试验的House-Brackmann面神经分级系统的观察者间变异性。
Acta Neurochir (Wien). 2017 Apr;159(4):733-738. doi: 10.1007/s00701-017-3109-0. Epub 2017 Feb 10.
2
Idiopathic recurrent facial palsy: Facial nerve decompression via middle cranial fossa approach.特发性复发性面神经麻痹：经中颅窝入路行面神经减压术。
Am J Otolaryngol. 2016 Jan-Feb;37(1):31-3. doi: 10.1016/j.amjoto.2015.09.004. Epub 2015 Sep 10.
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Recurrences of Bell's palsy.贝尔麻痹的复发
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4
Facial nerve outcomes after middle fossa decompression for Bell's palsy.贝尔面瘫行中颅窝减压术后的面神经预后
Otol Neurotol. 2015 Mar;36(3):513-8. doi: 10.1097/MAO.0000000000000513.
5
A national survey of facial paralysis on the quality of life of patients with acoustic neuroma.一项关于面瘫对听神经瘤患者生活质量影响的全国性调查。
Otol Neurotol. 2015 Mar;36(3):503-9. doi: 10.1097/MAO.0000000000000428.
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Subtotal facial nerve decompression in preventing further recurrence and promoting facial nerve recovery of severe idiopathic recurrent facial palsy.面神经次全减压术预防重度特发性复发性面神经麻痹的进一步复发及促进面神经恢复
Eur Arch Otorhinolaryngol. 2015 Nov;272(11):3295-8. doi: 10.1007/s00405-014-2991-9. Epub 2014 Mar 12.
7
The effect of total facial nerve decompression in preventing further recurrence of idiopathic recurrent facial palsy.全面神经减压术对预防特发性复发性面神经麻痹进一步复发的效果。
Eur Arch Otorhinolaryngol. 2015 May;272(5):1087-90. doi: 10.1007/s00405-014-2891-z. Epub 2014 Feb 4.
8
Is electroneurography beneficial in the management of Bell's palsy?电神经图在贝尔氏麻痹症的治疗中有帮助吗？
Laryngoscope. 2013 May;123(5):1066-7. doi: 10.1002/lary.23560.
9
Is it valid to calculate the 3-kilohertz threshold by averaging 2 and 4 kilohertz?能否通过平均 2 千赫兹和 4 千赫兹来计算 3 千赫兹阈值？
Otolaryngol Head Neck Surg. 2012 Jul;147(1):102-4. doi: 10.1177/0194599812437156. Epub 2012 Feb 2.
10
Long-term hearing preservation after microsurgical excision of vestibular schwannoma.听神经瘤显微切除术后的长期听力保护。
Otol Neurotol. 2010 Sep;31(7):1144-52. doi: 10.1097/MAO.0b013e3181edb8b2.

特发性复发性面瘫的手术治疗效果：一种罕见的临床实体。

Surgical Outcomes in Idiopathic Recurrent Facial Nerve Paralysis: A Rare Clinical Entity.

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, U.S.A.

Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, U.S.A.

出版信息

Laryngoscope. 2020 Jan;130(1):200-205. doi: 10.1002/lary.27906. Epub 2019 Mar 6.

DOI:10.1002/lary.27906
PMID:30840311
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8579377/
Abstract

OBJECTIVE

To evaluate the postoperative facial nerve dysfunction, audiometric outcomes, and long-term quality-of-life outcomes of patients with idiopathic recurrent facial nerve paralysis (RFP) after middle cranial fossa (MCF) microsurgical decompression.

METHODS

Retrospective chart analysis of 11 (mean age 37.0 years, range 5 to 67) patients at an academic tertiary referral center who underwent MCF facial nerve decompression. Data analysis included evaluation of pre- and postoperative House-Brackmann (HB) score, pre- and postoperative pure-tone average (PTA), pre-and postoperative word recognition scores (WRS), and postoperative Facial Clinimetric Evaluation survey.

RESULTS

Mean number of preoperative facial paralysis episodes was 3.5 (range 2 to 6), and preoperative HB score was 4.5 (range 1 to 6). Postoperatively, 0 patients had further episodes of facial nerve paralysis at an average of 6.5 years (range 0.1 to 17.6) (P = 0.005), and the average postoperative HB score was 2.1 (range 1 to 3) (P = 0.011). Postoperative audiometry was stably maintained as assessed with PTA and WRS scores.

CONCLUSION

Microsurgical facial nerve decompression for idiopathic RFP may be a reliable therapeutic modality to prophylactically decrease the number of facial nerve paralysis episodes and may also help to improve facial nerve functional status.

LEVEL OF EVIDENCE

4 Laryngoscope, 130:200-205, 2020.

摘要

目的

评估特发性复发性面神经麻痹（RFP）患者经颅中窝（MCF）显微减压术后的面神经功能障碍、听力结果和长期生活质量结果。

方法

对 11 例（平均年龄 37.0 岁，范围 5 至 67 岁）在学术性三级转诊中心接受 MCF 面神经减压术的患者进行回顾性图表分析。数据分析包括评估术前和术后 House-Brackmann（HB）评分、术前和术后纯音平均（PTA）、术前和术后言语识别得分（WRS）以及术后面部临床评估调查。

结果

平均术前面神经麻痹发作次数为 3.5 次（范围 2 至 6 次），术前 HB 评分为 4.5 分（范围 1 至 6 分）。术后，0 例患者在平均 6.5 年（范围 0.1 至 17.6）时有进一步的面神经麻痹发作（P = 0.005），平均术后 HB 评分为 2.1 分（范围 1 至 3）（P = 0.011）。术后听力通过 PTA 和 WRS 评分稳定保持。

结论

显微面神经减压术治疗特发性 RFP 可能是一种可靠的治疗方法，可以预防性减少面神经麻痹发作次数，并有助于改善面神经功能状态。

证据等级

4 Laryngoscope, 130:200-205, 2020.