首页> 外文期刊>International journal of pediatric otorhinolaryngology >Middle cranial fossa facial nerve decompression before two years of age
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Middle cranial fossa facial nerve decompression before two years of age

机译:两岁前颅中窝面神经减压

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摘要

We present a case report of a 17-month old patient who underwent serial bilateral total facial nerve decompression procedures for complete bilateral facial paralysis in the setting of craniometaphyseal dysplasia via combined middle cranial fossa and transmastoid approaches. The surgical decision-making process and procedures were reviewed. The patient recovered without complications from the staged surgical procedures, and developed partial return of function of both facial nerves postoperatively, with symmetric House-Brackmann grades of II-III. Despite its technical difficulty in the setting of this particular disorder, facial nerve decompression may be appropriate in the setting of acute facial palsy in craniometaphyseal dysplasia, with the potential for return of function. Given the extremely rare nature of the disease process, variable surgical experience and the clinical condition of the patient remain our best guides for management.
机译:我们提供了一个病例报告,该患者17个月大,经过颅中mas窝发育不良和经乳突入路联合手术,完成了连续的双侧全脸神经减压手术,完成了双侧面部完全性瘫痪。审查了手术决策过程和程序。该患者从分阶段的外科手术中无并发症地恢复,术后对称性的House-Brackmann等级为II-III,使部分面神经部分恢复功能。尽管在解决这种特殊疾病方面存在技术难度,但是在颅骨干s发育异常的急性面神经麻痹的情况下,面神经减压可能是合适的,可能会恢复功能。鉴于疾病过程极其罕见的性质,可变的手术经验和患者的临床状况仍然是我们管理的最佳指南。

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