简要病情介绍:患者车祸导致右侧周围性面瘫3个月无好转,颞骨CT显示右侧颞骨横行骨折,右侧听力丧失,前庭功能障碍
![](https://img.haomeiwen.com/i5971149/1953105125ce1126.jpg)
邵阳市首例经迷路入路面神经探查+全程减压术 术者:易天华 手术指导:贺建桥 (邵阳学院附属第一医院耳鼻喉科)
![](https://img.haomeiwen.com/i5971149/a17d66811b15d3d4.jpg)
邵阳市首例经迷路入路面神经探查+全程减压术 术者:易天华 手术指导:贺建桥 (邵阳学院附属第一医院耳鼻喉科)
![](https://img.haomeiwen.com/i5971149/6cdbdb3206c3d81d.jpg)
邵阳市首例经迷路入路面神经探查+全程减压术 术者:易天华 手术指导:贺建桥 (邵阳学院附属第一医院耳鼻喉科)
![](https://img.haomeiwen.com/i5971149/58e7ad4ccd91bc67.jpg)
邵阳市首例经迷路入路面神经探查+全程减压术 术者:易天华 手术指导:贺建桥 (邵阳学院附属第一医院耳鼻喉科)
![](https://img.haomeiwen.com/i5971149/f41a9750b49bf7f0.jpg)
邵阳市首例经迷路入路面神经探查+全程减压术 术者:易天华 手术指导:贺建桥 (邵阳学院附属第一医院耳鼻喉科)
![](https://img.haomeiwen.com/i5971149/b7f0dc53aeff54ab.jpg)
完璧式开放乳突并轮廓化乙状窦
![](https://img.haomeiwen.com/i5971149/8ce7ca2d651b8e33.jpg)
显露二腹肌脊
![](https://img.haomeiwen.com/i5971149/c792eba7b0d5b6a8.jpg)
显露面神经垂直段
![](https://img.haomeiwen.com/i5971149/83e54c1743de854e.jpg)
磨除乳突面后气房
![](https://img.haomeiwen.com/i5971149/5ee0af2d52ef4224.jpg)
轮廓化三个半规管
![](https://img.haomeiwen.com/i5971149/7a84651ba397b108.jpg)
放大观
![](https://img.haomeiwen.com/i5971149/5bf3573ac1ada1f4.jpg)
显露半规管内部结构
![](https://img.haomeiwen.com/i5971149/8beaf2d17914627c.jpg)
开始磨除迷路骨质
![](https://img.haomeiwen.com/i5971149/c555e57df3a72c56.jpg)
邵阳市首例经迷路入路面神经探查+全程减压术 术者:易天华 手术指导:贺建桥 (邵阳学院附属第一医院耳鼻喉科)
![](https://img.haomeiwen.com/i5971149/5e3994a4f98c9aa3.jpg)
磨除内听道周围骨质
![](https://img.haomeiwen.com/i5971149/ea34a56204601ef5.jpg)
显露内听道硬膜,上部脑膜有裂缝
![](https://img.haomeiwen.com/i5971149/3b23d49c5e60cb90.jpg)
至此内听道段、迷路段、水平段、垂直段全程减压
![](https://img.haomeiwen.com/i5971149/302be6d72af4ed0c.jpg)
打开内听道显露前庭上神经和面神经
![](https://img.haomeiwen.com/i5971149/9b97c45db65c25a0.jpg)
剪开内听道口及桥小脑角前方硬脑膜可探查面神经桥小脑角段