Ludman H, Choa D I
J Laryngol Otol. 1985 Mar;99(3):239-45. doi: 10.1017/s0022215100096626.
This paper describes experience with a transtympanic facial nerve needling operation in 62 patients with hemifacial spasm, over a 15-year period. The procedure is simple and effective, but unfortunately it is usually marred by recurrence of the spasm. Repeat operations are easy to perform, and usually valuable the first time. Despite recurrence, most patients are finally less troubled than before operation. A small number have proved very resistant to treatment, and the aetiological implications of this are presented. Other operative options are also discussed, together with our experience in a small number treated by facial nerve needling at other sites.
本文描述了在15年期间对62例面肌痉挛患者进行经鼓膜面神经针刺手术的经验。该手术简单有效，但遗憾的是痉挛通常会复发。重复手术易于实施，且首次进行时通常很有价值。尽管会复发，但大多数患者最终比手术前的困扰要少。少数患者对治疗表现出很强的抗性，并阐述了其病因学意义。还讨论了其他手术选择，以及我们对少数在其他部位进行面神经针刺治疗的患者的经验。
