选择性三神经运动分支转移:面部复苏的初步临床应用
Yuchao Liu1, Linli Yao, Chunli Li
1Department of Otolaryngology & Head and Neck Surgery, Wuhan No.1 Hospital, Wuhan, China.
The Journal of craniofacial surgery
|June 14, 2023
概括
选择性三角神经运动分支有效地修复了面部,恢复了闭眼功能,改善了面部对称性. 这种技术为面部神经损伤晚期的患者提供了可接受的结果.
科学领域:
- 神经外科 神经外科
- 重建性手术是一种重建性手术.
- 面部神经手术 面部神经手术
背景情况:
- 面部显著影响生活质量.
- 目前用于高级面部的重建技术存在局限性.
研究的目的:
- 评估选择性三角神经运动分支的有效性和可行性,以修复面部.
- 评估手术干预后的功能和美学结果.
主要方法:
- 对四名晚期面部患者 (2016-2021) 的回顾性分析.
- 在手术前后进行评估,使用House-Brackmann分级,口腔指针对称度表,Terzis的微笑评估,口腔指针运动距离和FaCE尺度.
- 手术后18个月的随访时间.
主要成果:
- 这四名患者在六个月内都出现了面部神经功能恢复.
- 观察到House-Brackmann评分,微笑功能和休息时口腔 commissure 对称性的显著改善.
- 观察到眼睛闭合功能明显恢复,以及改善了动态的口腔部位运动 (P <0.001).
- 通过FaCE得分测量的主观患者感知,也显著改善 (P = 0.019).
结论:
- 同时选择性面部神经修复与三角神经分支-面部神经解剖是有效的面部.
- 该程序成功地恢复了闭眼功能,并增强了静态和动态的面部对称性.
- 这种技术为患有晚期面部的患者提供了可接受的术后结果.
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