Facial paralysis in temporal bone trauma
10.3760/j.issn:1673-0860.2001.01.012
- VernacularTitle:面神经减压术治疗颞骨外伤性面瘫的临床分析
- Author:
Xinsheng HUANG
1
;
Chunfu DAI
;
Zhengmin WANG
Author Information
1. Eye Ear Nose and Throat Hospital Medical Center of Fudan University
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2001;36(1):34-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the cause and treatment of facial paralysis in temporal bone trauma. Methods A retrospective review of 28 patients with facial paralysis resulting from temporal bone trauma was conducted,House-Brackmann（H-B） system was used to evaluate the recovery of facial nerve function, U test was employed for statistic analysis. Results Twenty-six cases underwent following up facial nerve function of all patients was recovery partly after surgery,46% cases reached H-BⅡ,84% cases reached H-BⅢ,comparing facial nerve decompression within 4 months of injury to beyond 4 months of injury,recovery to H-BⅡ or more of facial nerve function was 60% and 0%, respectively. The difference was significant（P<0.05）. Conclusion Surgery decompression is effective on facial nerve palsy caused by temporal bone trauma. It is recommended that surgery decompression be carried out as soon as possible since a better prognosis is obtained if it is performed within four months after injury.
