측두골 골절 후 안면신경 마비의 수술적 치료

김희남; 이호기; 이원상; 정명현; 한수진

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자료유형: 학술저널

저자정보: 김희남 이호기 이원상 정명현 한수진

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제1호

발행연도: 2005.1

수록면: 24 - 29 (6page)

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연구배경

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연구결과

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Background and Objectives：Controversy persists in regard to the management of traumatic facial paralysis. We reviewed the cases of decompression of traumatic facial nerve according to the type of fracture, injury site of nerve, injured state of nerve, surgical timing, surgical approach and opening of epineurium to determine good prognostic factors and propose in this article a rationale of management. Subjects and Method：The authors reviewed retrospectively 35 cases of the decompresion of traumatic facial paralysis at the Department of Otorhinolaryngology, Yonsei University Colege of Medicine from January 1991 to December 2002. Results：longitudinal fracture. The results of imediate facial nerve decompresion were excellent in functional recovery. The surgical findings of injured facial nerve were, in order, edematous swelling, bony impingement, fibrosis and partial transection, traumatic neuroma. Decompresion with nerve sheath sliting appeared to provide better outcomes. The approach for decompresion acording to the injured sites was suficiently adequate. Conclusion：paralysis, the important prognostic factors are timing of surgical intervention, injured state of the nerve and the slitting of the nerve sheath.

#측두골 골절·안면신경·안면마비. #Temporal bone fracture· Facial nerve· Facial paralysis.

참고문헌 (18)

참고문헌 신청

/ 1959 / The surgical treatment of facial paralysis and trau-matic conductive deafness in fracture of the temporal bone 68 : 855 ~ 89

/ 1972 / Injuries to the facial nerve 82 : 1891 ~ 6

/ 1974 / Experimentally facial nerve paralysis:Influence of decompression 83 : 582 ~ 95

/ 1975 / Experimentally induced facial nerve compres-sion in cats 79 : 390 ~ 5

/ 1982 / Etude critique des indications de lexploration chirurgicale du nerf facial intrapetreux 31 : 99 ~ 106

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