耳源性面瘫的治疗（附52例分析）

Treatment of Otogenic Facial Palsy(A report of 52 cases)

本文分析了５２例耳源性面瘫。面瘫的原因：急性中耳炎６例、慢性胆脂瘤型中耳炎或慢性骨疡型中耳炎２１例，乳突手术致面瘫２５例，其中迟发性面瘫１４例，即发性面瘫１１例。３６例通过手术治疗，包括单纯乳突凿开术、乳突根治术、面神经减压术或神经移植术。１６例行药物治疗。本组病例面神经功能完全恢复者３２例占６１．５％，部分恢复者１１例，未恢复者９例，并对耳源性面瘫的治疗方法的选择进行了讨论。

cases with otogenic facial paralysis were analysed.of whom six were due to a-cute otitis media and 21 due to cholesteatoma or the bone-invading type of chronic otitis media.Surgical injuries during mastoid operation were regarded responsible for the remaining 25 cases,in-cluding 14 cases of delayed paralysis and 11 cases of immediate paralysis.36 cases were treated with surgery including surgical draining through a simple mastoidecto-my,a radical mastoidectomy,surgical decompression of the facial nerve or nerve grafting.16 cases were treated with medication.Full recovery was attained in 32(61.5%)cases,partial recovery in 11 and no recovery in 9.Selection of treatments for otogenic facial paralysis was also discussed.