摘要
本文报告了１９８８～１９９８年收治的２５例颞骨骨折合并面瘫患者的临床表现及治疗结果，男性２０例，女性５例，年龄２～４０岁。颞骨纵行骨折７例，横行骨折４例，耳道－乳突复合性骨折１４例。５例保守治疗，行面神经减压术２０例，手术采用：经颞迷路上径路１例（颅中窝径路）；经乳突颞下迷路外径路５例；迷路径路２例；中耳乳突径路１２例（其中面神经隐窝径路９例，开放式手术３例）。１５例术后观察６月～６年，面肌功能恢复良好１２例，占８０％，其中以外耳道－乳突复合性骨折效果佳。外伤时间长，面神经损伤程度重，是面肌功能恢复不良的重要因素。
Abstract Twentyfive patients of temporal bone fracture with facial nerve palsy were treated
from 1988 to 1998.There were 20 males and 5 females,ranging in age from 2 to 24 years.The
fracture line was longitudal in 7,transverse in 4,and meatusmastoid in 14,which were diagnosed
by CT scan.The facial nerve decompress procedure was applied in 20 cases which included
transtemporal superlabyrinthine (middle granial fossa) in 1,transmastoid extralabyrinthine
subtemporal in 5,translabyrinthine in 2,and tranmiddle earmastoid in 12 (facial nerve recess
9,open mastoidectomy 3).And 5 patients were conservatively treated because of serious
complications.Of the surgically treated 20 cases,15 had complete folowup data of 05￣6 years.
Result showed that the facial nerve function recovery was satisfactory in 12 (12/15,80%) of
which had most favorable effects in patients of compound fracture of meatusmastoid.The
important factors in poor recovery were prolonged time and severe injuries.
出处
《耳鼻咽喉（头颈外科）》
1999年第3期131-134,共4页
Chinese Arch Otolaryngology-Head Neck Surg
