Takamatsu I, Ogahara N, Fujimoto M, Nagahara T, Tsukuda M
Kanagawa Children's Medical Center.
Nihon Jibiinkoka Gakkai Kaiho. 1996 Jul;99(7):985-90. doi: 10.3950/jibiinkoka.99.985.
Two children with otogenic facial palsy are reported. The tympanic membranes of a 15-month-old boy and a girl of the same age were hyperemic, dull, and bulging, and the children suffered from masked mastoiditis. The facial palsy had not been improved by myringotomy, and parenteral administration of antibiotics and steroids. Finally, tympanomastoidectomy and facial nerve decompression was performed and a tympanostomy tube was inserted. Both patients completely recovered facial nerve function within two months after the operation. On the basis of the results of those operations tympanomastoidectomy and the facial nerve decompression may become necessary in such cases as those caused by masked mastoiditis.
报告了两名耳源性面瘫患儿。一名15个月大男孩和一名同龄女孩的鼓膜充血、晦暗且膨隆，患有隐匿性乳突炎。鼓膜切开术、抗生素和类固醇的肠胃外给药均未能改善面瘫症状。最后进行了鼓室乳突切除术和面神经减压术，并插入了鼓膜造孔管。两名患者术后两个月内面神经功能均完全恢复。基于这些手术结果，对于隐匿性乳突炎所致病例，鼓室乳突切除术和面神经减压术可能是必要的。
