Brookes C N
Department of Oral & Maxillo-Facial Surgery, Royal Preston Hospital.
Br J Oral Maxillofac Surg. 1988 Apr;26(2):149-54. doi: 10.1016/0266-4356(88)90010-1.
A case report of a unilateral lower motor neurone facial nerve paralysis complicating bilateral fractures of the mandible is described. The injury was the result of a fall. The differential diagnosis is discussed together with the treatment undertaken. The importance of a thorough examination of the cranial nerves following trauma is emphasised. A review of the literature is presented with special reference to the relative merits and indications for the use of cortico-steroids and surgical exploration.
本文描述了一例单侧下运动神经元性面神经麻痹并发双侧下颌骨骨折的病例报告。该损伤是跌倒所致。文中讨论了鉴别诊断以及所采取的治疗方法。强调了外伤后全面检查颅神经的重要性。并对相关文献进行了综述,特别提及了使用皮质类固醇和手术探查的相对优点及适应证。