晚期面部神经麻发生在良性腺瘤手术后
Kiyomi Kuba1, Masaya Umino1, Masami Osaki1
1Otolaryngology - Head and Neck Surgery, Ageo Central General Hospital, Ageo, JPN.
Cureus
|January 9, 2026
概括
鼻手术后面部神经麻通常是立即发生的. 这一案例突出了面部神经延迟的罕见情况,手术后16天,强调需要进行彻底调查.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 在瘤学瘤学.
背景情况:
- 面部神经麻是腺瘤手术的重要并发症.
- 大多数病例发生在手术后立即或72小时内,由于直接受伤,胀或血液瘤.
- 面部神经延迟 (DFNP) 超过72小时是非常罕见的.
研究的目的:
- 报告一个罕见的晚期面部神经麻的病例,该病例是在状腺瘤手术后出现的.
- 讨论这种不寻常的并发症的潜在病因因素和管理.
主要方法:
- 一个60岁的女性患者的病例报告.
- 详细描述患者的表现,手术史和术后过程.
- 检查诊断结果和进行的治疗.
主要成果:
- 患者在腺手术后16天出现严重的面部神经麻,伴有局部疼痛.
- 没有检测到任何感染,,血瘤或瘤复发的客观迹象.
- 经过四个月的联合类固醇和抗病毒疗法,患者完全康复.
结论:
- 在腺瘤手术后延迟面部神经麻是一种极其罕见的事件.
- 在开始治疗DFNP之前,对致病因素的彻底调查至关重要.
- 类似于异常性面部神经麻的治疗方案可能是有效的.
相关概念视频
Cranial Nerves: Types Part I
4.7K
Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
4.7K
Cranial Nerves: Types Part II
4.5K
Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves. While the first six innervate the head and neck, the latter six nerves innervate the head and neck, as well as organs and tissues in the thoracic and abdominal cavities. They facilitate communication, expression, and autonomic control within the human body.
Facial Nerve (Cranial Nerve VII)
Cranial nerve VII, or the facial nerve,...
Facial Nerve (Cranial Nerve VII)
Cranial nerve VII, or the facial nerve,...
4.5K
Cranial Part of Parasympathetic Division
2.0K
The cranial part of the parasympathetic division plays a crucial role in regulating the visceral functions of the head and specific structures in the neck, thoracic, and abdominopelvic cavities. Preganglionic fibers of the parasympathetic division exit the brain through cranial nerves III (oculomotor), VII (facial), IX (glossopharyngeal), and X (vagus), delivering parasympathetic output to the respective visceral structures.
The vagus nerve (cranial nerve X) alone accounts for approximately 75...
The vagus nerve (cranial nerve X) alone accounts for approximately 75...
2.0K
Tonsillitis II: Management
392
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
392


