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首页> 外文期刊>The American journal of otology >Oculoplastic surgical techniques for protection of the eye in facial nerve paralysis.
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Oculoplastic surgical techniques for protection of the eye in facial nerve paralysis.

机译：用于在面神经麻痹中保护眼睛的整形外科技术。

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OBJECTIVE: To describe an algorithm for medical and surgical management of corneal exposure secondary to seventh cranial nerve paresis. STUDY DESIGN: A retrospective review of 54 patients requiring surgical intervention for seventh cranial nerve paresis was performed. SETTING: Patients underwent outpatient procedures at a tertiary care facility. RESULTS: 31 men and 23 women, with a mean age of 55.7 years, were included in this study. They included 45 patients with involvement of the facial nerve at the time of surgery, 3 with inflammatory processes, 2 with central palsies, 1 with a traumatic paralysis, and 3 with idiopathic palsies. All 54 patients were treated both medically and surgically. Fifty-two patients underwent gold weight placement, and 39 patients underwent surgical repositioning of their lower eyelids; 24 of those patients had supplemental ear cartilage grafts inserted as well. Five patients had brow ptosis repairs, and 13 had tarsorrhaphies (9 temporary and 4 permanent). Twelve patients had confluent epithelial defects of >50% of their corneal surface, and 33 patients had smaller disruptions of their corneal epithelium. Three patients had minor complications secondary to surgical intervention. Thirty-seven patients had isolated seventh nerve palsies, and 17 patients also had fifth nerve pareses affecting their ocular surfaces. The average preoperative lagophthalmos was 6.3 mm, and the average postoperative lagophthalmos after all ocular procedures was 1.6 mm. The mean follow-up time was 19.7 months. CONCLUSIONS: Treatment options for seventh cranial nerve deficits are reviewed. A decision-making process for the treatment steps is proposed and analyzed.
机译：目的：描述一种继发于第七颅神经麻痹的角膜暴露的医学和外科手术处理算法。研究设计：回顾性分析了54例需要进行手术治疗的第七次颅神经麻痹的患者。地点：患者在三级护理机构接受了门诊手术。结果：这项研究包括31名男性和23名女性，平均年龄为55.7岁。他们包括45例手术时面神经受累的患者，3例发炎，2例为中枢性麻痹，1例为外伤性麻痹，3例为特发性麻痹。所有54例患者均接受了药物和外科治疗。 52例患者进行了金重放置，39例患者进行了下眼睑手术复位;这些患者中有24例还插入了辅助性耳软骨移植物。 5例患者进行了上睑下垂修复，13例患者患有睑缘萎缩（临时性9例，永久性4例）。 12位患者的融合上皮缺损超过其角膜表面的50％，33位患者的角膜上皮破坏较小。三例患者因手术干预而发生了轻微并发症。三十七名患者患有孤立的第七神经麻痹，另外十七名患者也患有第五神经麻痹，影响了他们的眼表。术前平均眼睑高度为6.3 mm，所有眼部手术后的术后平均眼睑高度为1.6 mm。平均随访时间为19.7个月。结论：第七颅神经功能缺损的治疗方案进行了审查。提出并分析了治疗步骤的决策过程。

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