Clinical Analysis Of Peripheral Facial Nerve Paralysis In 50 Cases

ObjectiveTo explore the reasons of peripheral facial nerve paralysis, the different treatment and the factors affecting the curative effect.MethodsThe clinical data of 50 cases of peripheral facial nerve from February 2008 to February 2010 was analyzed retrospectively. The curative effects were evaluated by House-Brackmann Grading Scale.Results1. In 50 cases,18 cases (36%) were Bell paralysis,13 cases (26%) were caused by otitis media,11 cases (22%) were caused by temporal bone traumatic,5 cases (10%) were Hunt syndrome,3 cases (6%) were caused by tumors.2.18 cases Bell paralysis,5 cases Hunt syndrome,4 cases traumatic and 2 cases acute otitis media were received medical therapy such agents like vessel dilators, neurotrophic agents, anti-inflammatory ones, anti-viruous ones and physical therapy. The Patients with peripheral facial paralysis within 15 days will be recovered much better. 3.7 cases traumatic,9 cases otitis media,3 cases tumors and 2 cases mastoid surgery were received surgical treatments. The facial nerve function of patients within 2 months were recovered better than that of more than 2 months.Conclusions1. The incidence of facial paralysis caused by Bell paralysis and traumatic is higher than that caused by otitis media, mastoid surgery, Hunt syndrome and tumor.2. In all patients received medical treatments, the facial nerve functions were recoved much better within 15 days.3. In all patients received surgical treatments, the facial nerve functions were recoved better within 2 months.