了解面部神经分支牺牲与选择性神经切除术结果之间的关系
Tal Kaufman Goldberg1, John P Flynn1, Lauren O Trzcinski1
1Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology Head & Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Facial plastic surgery & aesthetic medicine
|July 10, 2023
概括
选择性神经切除术 (SN) 显示,当特定的面部神经分支被战略性地保存或切割时,协同运动的选择性神经切除术 (SN) 显示出更好的结果. 然而,患者可能会经历手术后的功能缺陷,这可以通过干预来管理.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 面部复苏手术 面部复苏手术
背景情况:
- 选择性神经切除术 (SN) 是对协的治疗方法,但结果各不相同.
- 了解手术内决策对于优化SN结果至关重要.
研究的目的:
- 调查SN期间手术内面部神经分支切割与患者结果之间的相关性.
- 评估手术决定与术后功能缺陷的发生之间的关系.
主要方法:
- 追溯审查56个SN病例 (2019-2021年),至少4个月的随访时间.
- 使用FaCE,eFACE和Emotrics工具进行结果评估.
- 面部神经分支的保存/切断与功能结果和缺陷的相关性分析.
主要成果:
- 改善的口腔指挥部外游与保留所有微笑分支,不切断垂直微笑分支,切断>3个对手分支有关.
- 在牺牲微笑对手的分支和微笑的有利结果之间观察到一个线性关联.
- 下唇运动改善了下唇分支的切割>50%;30%的患者有缺陷,47%的恢复.
结论:
- 在SN中,手术内选择与功能结果有显著的相关性.
- 在SN之后,新的或恶化的功能缺陷的速度可能是相当大的.
- 诸如化疗或填充剂等干预措施可以减轻术后功能缺陷.
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