CAJ | 학술논문

目的分析颌面部外周性面神经损伤后功能恢复的规律和相关影响因素.方法回顾分析182例面神经损伤患者的病历资料,分析损伤部位、损伤方式、损伤后治疗时间及治疗方式对于面神经功能恢复结果的影响.结果口腔颌面部面神经损伤以分支损伤为主.神经损伤方式、部位、患者年龄、修复时间等因素均对面神经功能恢复结果有影响.随访至最终有完整记录的解剖性损伤49例中,45例(92%)在6个月内完全恢复;断裂损伤59例中,53例(90%)于6个月内开始恢复;12个月内,神经吻合35例中33例(94%)面神经功能开始恢复;8例神经移植病例中5例(62%)完全恢复.结论口腔颌面部手术中应尽量降低对神经的损伤,尽早修复受损神经,这样能够更好地保存面神经功能.
목적 분석합면부외주성면신경손상후공능회복적규률화상관영향인소.방법 회고분석182례면신경손상환자적병력자료,분석손상부위、손상방식、손상후치료시간급치료방식대우면신경공능회복결과적영향.결과 구강합면부면신경손상이분지손상위주.신경손상방식、부위、환자년령、수복시간등인소균대면신경공능회복결과유영향.수방지최종유완정기록적해부성손상49례중,45례(92%)재6개월내완전회복;단렬손상59례중,53례(90%)우6개월내개시회복;12개월내,신경문합35례중33례(94%)면신경공능개시회복;8례신경이식병례중5례(62%)완전회복.결론 구강합면부수술중응진량강저대신경적손상,진조수복수손신경,저양능구경호지보존면신경공능.
Objective To investigate the recovery patterns and the influencing factors of facial nerve injury in maxillofacial surgery by retrospective analysis of a serial clinical data.Methods A total of 182 patients with facial nerve injury were reviewed.The cause of injury,the initial facial nerve function after trauma,the treatment, the initial recovery time of facial nerve function and the total recovery time were recorded.The factors that influenced the outcome of facial nerve function were analyzed.Results The facial nerve branch injury was common in maxillofacial injury.The injury pattern, location,age and reconstruction time all had effects on the function recovery of the facial nerve.Within 6 months,45 of 49(92%) anatomic injured patients completely recovered in 6 months;53 of 59 patients(90%)began to recoverwhen nerve had been ruptured.In 12 months,33 of 35 patients (94%) after nerve anastomosed and 5 of 8 patients (62%)with nerve transplantation got complete recovery.Conclusions Preserving the facial nerve during surgery is very important.If the facial nerve is injured,reconstructive surgery should be applied as soon as possible.