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本文首先介绍了几种早期判定面神经麻痹预后的新方法,包括最大刺激试验、颌下腺唾液流量测定、电味觉测量法等。但这些试验仍有其局限性,尚需进一步考验。对所有面神经外伤性麻痹,即使位于岩段,亦不应消极等待,应充分利用现代面神经外科技术,及时手术才能取得令人鼓舞的效果。甚至对战伤引起的晚期面神经麻痹亦不应等閒视之。面神经肿瘤虽少见,但也不可忽略,不明原因的末稍性面神经麻痹应强调耳科检查的重要性。贝尔氏麻痹的病因不明,治疗意见尚有分歧,本文简要地复习有关减压实验的评价及临床研究。
This article first introduces several new methods to determine the prognosis of facial nerve palsy, including the maximum stimulation test, submandibular gland saliva flow measurement, electric taste measurement method. However, these tests still have their limitations and still need further tests. For all facial nerve traumatic paralysis, even in the rock section, should not wait for the negative, should make full use of modern facial nerve surgery, timely surgery can achieve encouraging results. Even the late facial paralysis caused by the war injury should not be taken lightly. Although facial nerve tumors are rare, they should not be neglected. Unexplained facial nerve palsy should emphasize the importance of otological examination. The etiology of Bell’s paralysis is unclear, there are differences in the treatment of opinions, this article briefly review the evaluation of decompression experiments and clinical research.