A.術(shù)后即刻發(fā)生的面癱應盡早行面神經(jīng)探查術(shù)
B.手術(shù)中將面神經(jīng)損傷部位兩端的面神經(jīng)骨管輪廓化,暴露未受損傷的正常面神經(jīng),沿正常的面神經(jīng)鞘膜探查面神經(jīng)的損傷情況
C.如果發(fā)現(xiàn)面神經(jīng)受到損傷,及時切開面神經(jīng)鞘膜,檢查神經(jīng)纖維的損傷情況
D.根據(jù)面神經(jīng)損傷程度實施面神經(jīng)減壓術(shù)、面神經(jīng)改道端-端吻合術(shù)或面神經(jīng)移植術(shù)
E.如果發(fā)現(xiàn)面神經(jīng)斷傷超過神經(jīng)主干的1/3則剪斷損傷的面神經(jīng),根據(jù)具體情況實施面神經(jīng)改道端-端吻合術(shù)或面神經(jīng)移植術(shù)
F.對于電鉆擦傷、牽拉傷及挫傷等引起的面神經(jīng)水腫實施面神經(jīng)鞘膜切開,進行面神經(jīng)減壓,預防術(shù)后面神經(jīng)水腫導致的遲發(fā)性面癱的發(fā)生