Wang Y
Second Affiliated Hospital, Tianjin Medical College.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1993;28(6):328-30, 380.
Fifty-six cases of Bell's palsy that were examined and diagnosed with neuro-otologic and electrodiagnostic methods were treated with facial nerve decompression. Transmastoid posterior tympanotomy decompression of the facial nerve from the geniculate ganglion to the stylomastoid foramen was performed. The operative results of the 56 cases were as follows: satisfactory 23, fair 30 and moderate 3 respectively. 3 cases of mild high frequency hearing loss and 2 cases of eardrum perforation were found during follow-up. Factors correlated with curative effect, indication and precautions of operation were discussed.
对56例经神经耳科学和电诊断方法检查诊断为贝尔面瘫的患者进行了面神经减压治疗。采用经乳突后鼓室切开术,对面神经从膝状神经节至茎乳孔进行减压。56例患者的手术结果如下:满意23例,尚可30例,一般3例。随访期间发现3例轻度高频听力损失和2例鼓膜穿孔。讨论了与疗效相关的因素、手术适应证及注意事项。