颞骨骨折致双侧面瘫一例并文献复习

A Case of Bilateral Facial Paralysis Caused by Temporal Bone Fracture and Literature Review

摘要: 周围性面瘫是耳鼻喉科常见病，而颞骨骨折引起的双侧周围性面瘫在临床中罕见，一旦治疗不及时，容易遗留后遗症，从而影响患者生活质量。我科于2023年6月收治了1例左侧颞部受重物撞击，右侧颞部同时受到挤压伤的患者，该患者双侧颞骨骨折类型不同且并发了双侧面瘫，治疗中行保留听骨链的面神经减压术，术后随访面瘫逐渐恢复，通过回顾该患者的诊疗过程并结合相关文献复习，对双侧面瘫早期诊断和治疗方式的选择提供一定参考。

Abstract: Peripheral facial paralysis is a common disease in the department of otolaryngology. However, bilateral peripheral facial paralysis caused by temporal bone fractures is rare in clinical practice. If not treated promptly, it is prone to cause sequelae and affect the quality of life of patients. In June 2023, our department admitted a patient with left temporal bone impingement by a heavy object and right temporal crush injury at the same time. The patient had different types of bilateral temporal bone fractures and was complicated by bilateral facial paralysis. During the treatment, facial nerve decompression with ossicular chain preservation was performed, and the facial paralysis gradually recovered during the follow-up. By reviewing the patient’s diagnosis and treatment process and combining with the review of relevant literature, this provides certain references for the early diagnosis and selection of treatment methods for bilateral facial paralysis.