Surgical treatment in otogenic facial nerve palsy
10.3321/j.issn:1673-0860.2008.06.001
- VernacularTitle:耳源性面神经麻痹的手术治疗
- Author:
Guo-Dong FENG
1
;
Zhi-Qiang GAO
;
Meng-Yao ZHAI
;
Wei L(U)
;
Fang QI
;
Hong JIANG
;
Yang ZHA
;
Peng SHEN
Author Information
1. 中国医学科学院中国协和医科大学北京协和医院
- Keywords:
Facial paralysis;
Otologic surgical procesures;
Treatment outcome
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2008;43(6):401-405
- CountryChina
- Language:Chinese
-
Abstract:
objective To study the character of facial nerve palsy due to four difierent auris diseases including chronic otitis media,Hunt syndrome,tumor and physical or chemical factors,and to discuss the principles of the surgical management of otogenic facial nerve palsy.Methods The clinical charaeters of 24 patients with otogenic facial nerve palsy because of the four different auris diseases were retrospectively analyzed,all the cases were performed surgical management from October 1991 to March 2007.Facial nerve function Was evaluated with House-Brackmann(HB) grading system.Results The 24 patients including 10 males and 14 females were analysised,of whom 12 cases due to cholesteatoma,3 cases due to chronic otitis media,3 cases due to Hunt syndrome,2 cases resulted from acute otitis media,2 cases due to Dhysical or chemical factors and 2 cases due to tumor.All cases were treated with operations included facial nerve decompression,lesion resection with facial nerve decompression and lesion resection without facial nerve decompression,I patient'S facial nerve was resected because of the tumor.According to HB grade system,I degree recovery was attained in 4 cases,while Ⅱ degree in 10 cases,Ⅲ degree in 6 cases,Ⅳ degree in 2 cases,V degree in 2 cases and Ⅵ degree in 1 case.Conclusions Removing the lesions completely Was the basic factor to the surgery of otogenie facial palsy,moreover,it was important to have facial nerve decompression soon after lesion removal.
