面部神经创伤的管理
Rachel C Greiner1, Gavriel D Kohlberg2, G Nina Lu2
1University of Washington School of Medicine.
概括
面部神经创伤管理取决于受伤位置. 早期的皮质类固醇是骨骨折的关键,而这些骨折的外科手术仍然是有争议的. 外伤需要迅速的外科手术修复.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 创伤外科 手术 创伤外科
背景情况:
- 在创伤后出现的面部神经障碍会带来复杂的管理挑战.
- 电子诊断测试在评估神经完整性和预后方面发挥着作用.
- 创伤性面部神经损伤可能是由各种机制造成的,包括骨骨折和直接创伤.
研究的目的:
- 审查当前关于管理因创伤引起的面部神经疾病的文献.
- 强调电诊断测试在创伤性面部神经损伤中的作用和实用性.
- 综合有关手术与保守管理策略的证据.
主要方法:
- 关于面部神经创伤性麻的综合文献综述.
- 在面部神经创伤的背景下分析电诊断测试结果.
- 评估手术和非手术干预的结果.
主要成果:
- 高剂量的皮质类固醇建议在由于骨骨折引起的面部麻的早期治疗.
- 支持骨骨折外科手术的证据是相互矛盾的;一些研究表明有好处,而另一些则没有.
- 外神经切割需要在72小时内进行外科探索和合.
结论:
- 面部神经创伤的管理策略取决于受伤位置和严重程度.
- 缺少面部内神经创伤的指导方针.
- 在外科解压和医疗管理之间进行的争论,需要通过更大的研究进行进一步的调查.
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