Transmastoid decompression of the facial nerve in Bell's palsy.
Transmastoid decompression of the facial nerve in Bell's palsy.
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贝尔麻痹面神经经乳突减压术。
DOI：
10.1001/archotol.1979.00790210028006
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发表时间：
1979
影响因子：
--
通讯作者：
M. Tamaki
中科院分区：
文献类型：
--
作者：
N. Yanagihara;K. Gyo;Eiji Yumoto;M. Tamaki
我们描述了面神经从膝状神经节到茎乳孔的减压技术。对51例Bell麻痹患者进行减压术，并与77例锥体段和垂直段减压术的随访结果进行比较。当电诊断检查证实神经严重失神经支配时，即表示去神经支配。无论手术时机如何，前一组患者的明显残留麻痹和明显后遗症的发生率始终较低。在任一组中，在30天内减压获得了更理想的结果，但即使在发病后31 - 90天之间进行手术，减压的良好效果也是可识别的。
We describe the technique of decompression of the facial nerve from the geniculate ganglion to the stylomastoid foramen. The decompression was made on 51 patients with Bell's palsy, and the results of follow-up study were compared with those of 77 patients in whom the pyramidal and vertical segments were decompressed. The decompressions were indicated when a severe denervation of the nerve was confirmed by electrodiagnostic examinations. Incidences of notable residual palsy and of pronounced sequelae were always lower in the former group of patients regardless of the operational timing. In either group, a more desirable result was obtained by the decompression within 30 days, but a favorable effect of the decompression was recognizable even when the surgery was performed between 31 and 90 days after the onset.