CAJ | 학술논문

目的探讨小脑脑桥角区肿瘤术后面神经离断患者行面神经吻合术的方法及效果.方法回顾性分析7例小脑脑桥角区肿瘤术后面神经吻合患者的临床资料,采用House-Brackmann(H-B)评分法进行面神经功能评估,采用面神经端-端吻合和面-舌下神经吻合的手术方法.结果 7例均随访,随访时间1 ～ 48个月,平均23个月,1例随访时间较短,尚无法评估面神经功能,有效5例,无效1例,其中面神经恢复至H-BⅡ级1例,Ⅲ级2例,Ⅳ级2例.结论面神经吻合术是治疗小脑脑桥角区肿瘤术后面瘫的一种有效治疗方法,能改善多数患者的面神经功能.
목적 탐토소뇌뇌교각구종류술후면신경리단환자행면신경문합술적방법급효과.방법 회고성분석7례소뇌뇌교각구종류술후면신경문합환자적림상자료,채용House-Brackmann(H-B)평분법진행면신경공능평고,채용면신경단-단문합화면-설하신경문합적수술방법.결과 7례균수방,수방시간1 ～ 48개월,평균23개월,1례수방시간교단,상무법평고면신경공능,유효5례,무효1례,기중면신경회복지H-BⅡ급1례,Ⅲ급2례,Ⅳ급2례.결론 면신경문합술시치료소뇌뇌교각구종류술후면탄적일충유효치료방법,능개선다수환자적면신경공능.
Objective To evaluate the efficiency and functional improvement of the facial nerve anastomosis for facial paralysis after cerebellontine angle (CPA) tumor surgery.Methods The clinical data of seven patients with facial paralysis after CPA tumors surgery underwent nerve anastomosis were analyzed retrospectively.House-Brackmann (H-B) grading was used to evaluate the pre-,post-operative and follow-up status.The end-end anastomosis of facial nerve was performed in one case,and facial-hypoglossal nerve anastomosis in six.Results All patients were followed-up.The mean time of follow-up was 23 months (ranged from 1 to 48 months).Among seven cases,the facial nerve function was improved in five cases,unchanged in one,and could not be evaluated in one because of short-time follow-up.The postoperative HB grades were Ⅱ in one case,Ⅲ in two and Ⅳ in two.Conclusions Facial nerve anatomosis was a useful treatment for facial paralysis after CPA tumors resection and could improve the facial function.