110 (100853) Chinese Journal of Otology Vol. 8 No.1 2010 R745.12 A 1672-2922(2010)01-0110-07 (Neurotmesis) Sunderland 3.1 ~ 3.3 cm 5 (neurapraxia) 3 ; - 4 (Axonotmesis) 10 000 7 000 ; [1] 1 (axon) ; (schwann cells) 1 ; (endoneurium) 72 96 (Wallerian degeneration) [2 3] ; 3 4 (perineurium) 2 ; (epineurium) [4] 80 [1~3] 2.1 Seddon (Bell s palsy) [4 5] (neurapraxia) (Axonotmesis) 20-30 / 10 60% ~ 75% : (No:30973305); 40 10 10 ~ 29 (No: 200802070); 30 ~ 69 70 (No:2006BAI02B06); (No:2008 wzbh03) : Email: hanweiju@yahoo.cn
2010 8 1 111 I ; ; 14 11 [4] DNA (Ramsay Hunt syndrome ) [5 6] 2.3 HSV-1 [7] 25 μl HSV-1 49 37 (75.51%) I [8] 2.2 80% 20% ; [13] 90% (House-Brackmann ) 10% [4 9 10] - 20% 50% - [11] - [15] 2 2 4 ; ; ; 1 / 3 2 1 1 Y ; 30 Ishman [16] ; ; 5 ~ 8 mm 3 9 ; ; [12] 90% [14] 2.4 ;
112 Chinese Journal of Otology Vol. 8 No.1 2010 CT MRI CT ; MRI CT ; ; (NET) (MST) (ENoG) (EMG) EMG ENoG ( 4 ~ 7) [4] CT MRI CT NET MST 250 100 3 3 NET NET [17] 90% ; NET 74% [19] ENoG (compound action potentials CAP) CAP 4 3 ENoG [5] 90% 1 ; ; ENoG ENoG [1718] 3 HB I II ; NET 85% 11 CT EMG ENoG [20] ENoG 24 ENoG 1 d 56 d 23.6 d ENoG ENoG 90% ENoG 24 22 > 90% 2 < 90%; ENoG 91.7% 8.3% > 90%
2010 8 1 113 ; ; ; F F [22] F F F F 5 4 20 House-Brackmann [2122] (1) 1 House-Brackmann (1985) : : : : : : : () : : : : : : () : : : : : : : : : : :
114 Chinese Journal of Otology Vol. 8 No.1 2010 2007 5.1 PCR 221 7 114 Ramsey [23] Medline 1 000 mg / d 107 5 Meta 60 mg / d 5d 30mg / d 3d 10 mg / d 2d 6 96.% 17% 89% (P < 0.05) 1 mg / (kg ) ( 95.7% (n = 92)86.6%(n = 82) 80 mg) (P < 0.05) 5 ~ 7 10 ~ 14 24 Sullivan [24] 2007 Sullivan [24] 72 25 mg / 2 / 10 3 [31] 83.0% 63.6% (P < 0.001); 9 meta 6 94.4% 81.6% [32] (P < 0.001); 3 ~ 5 2 5 [25] 36% 5.3 [26] 2 500 (euphoric) 5.2 [3334] DNA [56] ; [27] ; meta 72 ; [28 29] Hato [30]
2010 8 1 115 [41] ; 90% ; - 10 cm ; 5.3.1 20 cm ; [42] 5.3.3-15 3 6 [35] 90% ; [43] - - - 3 14 (walleri- [44] an degeneration) - - 90% 2 1 mm ; 6 [36 37] ENoG 1 ~ 3 [45] 90% 7 House-Brackmann ; 1 Limb CJ Niparko JK. The acute facial palsies [M]// Jackler R Brackmann DE eds. Neurotology. Philadelphia PA: The Curtis Center 90% House-Brackmann 2005 1230-1257. 2 Melvin TA Limb CJ. Overview of fcial paralysis: current concepts. Facial Plast Surg 2008 24(2): 155-163. [38 39] 3. [M]//.. : 2007: 28-35. 4 Benecke JE. Facial paralysis. Otolaryngol Clin N Am 2002 35(2): 357-365. 5 Gilden DH. Bell s palsy. N Engl J Med. 2004 351(13): 1323-1331. 6 Murakami S Mizobuchi M Nakashiro Y et al. Bell palsy and herpes simplex virus: identification of viral DNA in endoneurial fluid [40] and muscle. Ann Intern Med 1996 124(1): 27-30. 7. 5.3.2 2006 41(1): 17-21. 8.. 2006 41(1): 1 cm 13-16. 9 Gormley WB Sekhar LN Wright DC et al. Acoustic neuromas: results of current surgical management. Neurosurgery 1997 41 (1): 8 50-58.
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