十八、面神经炎(Bell’s麻痹) [诊断标准] 1.一侧面部表情肢瘫痪:不能皱额、蹙眉、眼裂扩大,露齿时鼻唇沟变钱,口角歪向健侧。 2.起病急,多于清晨吹风受凉后发病。 3.初期乳突前方可有压痛。 4.排除了继发性面神经麻痹的病因:格林-巴氏综合征,中耳炎并发的面神经炎、面神经节炎症(Hunt综合征)、脑干病损、桥脑小脑角肿瘤等。 [治愈标准] 面部表情肌功能基本恢复。 Eighteen, facial neuritis (Bell’s paralysis) [diagnostic criteria] 1. side facial expression limb paralysis: not wrinkles, frown, eye crack enlargement, when exposed tooth nasolabial folds change money, mouth tilt to the contralateral side. 2 acute onset, more than early morning hair after the onset of cold. 3. Initial mastoid may have tenderness in front. 4. To exclude the cause of secondary facial paralysis: Green - Barre syndrome, otitis media complicated by facial neuritis, facial ganglion inflammation (Hunt syndrome), brain stem lesions, cerebellopontine angle tumors. [Cure standard] facial expression muscle function recovered.