Pulec J L
Pulec Ear Clinic, Los Angeles, California 90017, USA.
Ear Nose Throat J. 1996 Jul;75(7):410-5.
Exposure of the facial nerve from the brainstem to the parotid can be accomplished without injury to the nerve, tympanic membrane, external auditory canal, ossicular chain, inner ear or structures within the cerebello-pontine angle. The procedure has reliably provided good results for patients who have had the proper indications with facial paralysis from Bell's palsy, herpes zoster oticus, infection, hemi-facial spasm, temporal bone fracture and tumors. The current technique for exposure through the mastoid, middle cranial fossa and retrolabyrinthine combined approaches are described. This technique, properly performed, is a valuable treatment for facial nerve lesions.
从脑干至腮腺暴露面神经可在不损伤神经、鼓膜、外耳道、听骨链、内耳或桥小脑角内结构的情况下完成。该手术已为患有贝尔面瘫、耳带状疱疹、感染、半面痉挛、颞骨骨折和肿瘤等面瘫且有适当指征的患者可靠地提供了良好效果。本文描述了目前通过乳突、中颅窝和迷路后联合入路进行暴露的技术。正确实施该技术对面神经病变是一种有价值的治疗方法。
