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Middle ear and facial nerve damage in the treatment of


The facial nerve trauma surgery,[link widoczny dla zalogowanych], these factors together make the detection and re-operation should be more cautious when processing. To consider the relationship between the lesion and the facial nerve, pay attention to whether the bones of the facial nerve tube defects,[link widoczny dla zalogowanych], whether anatomical abnormalities. Clear vision must be clear when the lesions bright, action, carefully matching equipment to properly and avoid blindly tear granulation tissue [6]. Traveling should be emphasized from the normal facial nerve identification marks, the exact location of the facial nerve from the beginning and gradually the importance of exploration to the damaged area. Implementation of the facial nerve decompression time for the recovery of facial muscle function is important. Some have argued within 2 months, 3 months was also advocated the implementation of the facial nerve decompression within. Ye Fang Lei, within 2 months so that facial nerve decompression in the clinical cure rate of more than 2 months with a statistically significant difference was also observed within 2 months group was significantly higher than that of the facial nerve swelling group of more than 2 months, indicating that 2 within the group on facial nerve injury may be in the acute phase, is the swelling peak of more than 2 months though groups to reduce facial swelling, but the damage longer. That is aggravated by the injury, which may be less than 2 months surgery group was better than 2 months or more groups of reasons. In addition, Ye Fang Lei and other pointed out that although missed the best timing of surgery. But as long as not broken facial nerve lesions,[link widoczny dla zalogowanych], and the duration of not more than 5 months, the effect of facial nerve decompression, or positive, can contribute to varying degrees, functional recovery of facial muscles, while reducing the crocodile tears, facial muscle contracture associated with the movement and pathological sequelae such as mouth]. The results also show that the surgical group of patients. 1 year after injury to the facial nerve treatment, patients also received good results. Immediately after surgery of facial paralysis that appears to be other than local anesthesia caused by the surgery. The latter was restored within 2 ~ 12h; still no signs of recovery, such as 24h. Should be relevant examination. 5d after the injury, such as the affected side of the evoked EMG response to the normal side of 10% or less and patients who did not see the facial nerve surgery,[link widoczny dla zalogowanych], the patient should be mobilized as soon as possible reoperation. Granulation in order to avoid falling into the operative cavity formation, infection and scarring and increase surgical difficulties [8J. In short. As soon as possible after facial nerve injury and repair of facial nerve decompression surgery, if it is found during surgery should be handled immediately. Of surgery to use more temporal fascia cover, gelatin sponge fixed. To ensure nerve decompression and repair at the infiltration of organized liquid nourishment. Reduce the operative cavity filling pressure. After antibiotics, hormones, vitamins B, B, and nutritional nerve drug treatment to prevent infection, reduce facial edema, which promote functional recovery of the facial nerve is also very important. Green and other iatrogenic facial nerve injury observed the effect of surgery and found that facial nerve anastomosis of the cases were restored to the H-B Ⅲ level, and facial nerve grafting in patients with the majority of H-B Ⅳ grade _3]. Although not life threatening facial paralysis. But it is still a catastrophic event,[link widoczny dla zalogowanych], for the purposes of prevention of this complication otologist is the first.